Active NPI
Christy Michelle Moore, RD
- Registered Dietitian
- Starkville, MS
National Provider Identifier
1992004345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1204
- Practice address
- 104 W Garrard Rd
Starkville, MS 39759-2050 - Phone
- (662) 324-8300
- Fax
- (662) 324-7590
- NPI assigned
- Mar 24, 2011
- 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 | D1204 | MS | Primary |
Addresses
Primary practice location
104 W Garrard Rd
Starkville, MS 39759-2050
Mailing address
104 W Garrard Rd
Starkville, MS 39759-2050
Phone (662) 324-8300
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 |
|---|---|---|---|
| D1204 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1992004345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W GARRARD RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592050",
"telephone_number": "662-324-8300",
"fax_number": "662-324-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W GARRARD RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592050",
"telephone_number": "662-324-8300",
"fax_number": "662-324-7590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "CHRISTY",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-24",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.