Active NPI
Debra M Moore, RD, LMNT
- Registered Dietitian
- Columbus, NE
National Provider Identifier
1891850087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 328
- Practice address
- 4600 38TH St
Columbus Community Hospital
Columbus, NE 68601-1664 - Phone
- (402) 562-4460
- Fax
- (402) 562-3378
- NPI assigned
- Dec 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 328 | NE | Primary |
Addresses
Primary practice location
4600 38TH St
Columbus Community Hospital
Columbus, NE 68601-1664
Mailing address
3170 38TH Ave
Columbus, NE 68601-4476
Phone (402) 563-4022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81052 | Other | NE | CCH BCBS MNT PROV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891850087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 38TH AVE",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686014476",
"telephone_number": "402-563-4022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 38TH ST",
"address_2": "COLUMBUS COMMUNITY HOSPITAL",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686011664",
"telephone_number": "402-562-4460",
"fax_number": "402-562-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "DEBRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RD, LMNT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "328",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCH BCBS MNT PROV",
"identifier": "81052",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.