Individual provider Active NPI

Karen Virginia Moody, MS RD LDN

  • Registered Dietitian
  • High Point, NC
National Provider Identifier
1992344121
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L005334 Issued in NC
Practice address
300 Gatewood Ave
High Point, NC 27262-4822
Phone
(336) 905-6080
Fax
(336) 905-6081
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L005334 NC Primary

Addresses

Primary practice location

300 Gatewood Ave
High Point, NC 27262-4822

Mailing address

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-6268

Other practice location 1

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-6268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200211002993 NC Practitioner - Registered Dietitian Or Nutrition Professional 7315373321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest Health Network LLCGroup PAC ID 4183538895, 276 clinicians

Practice addresses (Care Compare)

138 Dublin Square Rd
Suite C
Asheboro, NC 27203-8601
Phone (336) 625-3333

4515 Premier Dr
High Point, NC 27265-8356

770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 765-5250

905 Phillips Ave
High Point, NC 27262-7075
Phone (336) 802-2040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
L005334NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince Jan 6, 2020 Accepting new patients
Wake Forest Health Network LLC CurrentSince Apr 3, 2023 Accepting new patients
Wake Forest University Health Sciences CurrentSince Apr 3, 2023 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
FHPG, LLC CurrentSince Jan 6, 2020 Accepting new patients
FHPG, LLC Current Accepting new patients
Wake Forest Health Network, LLC CurrentSince Apr 3, 2023 Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

300 Gatewood Ave
High Point, NC 27262
Phone (336) 802-2125

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

4515 Premier Dr
Ste 401
High Point, NC 27265
Phone (336) 802-2240

1208 Eastchester Dr
Ste 107
High Point, NC 27265
Phone (336) 802-2588

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1992344121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748710",
            "telephone_number": "910-715-6268",
            "fax_number": "910-715-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GATEWOOD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624822",
            "telephone_number": "336-905-6080",
            "fax_number": "336-905-6081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748710",
            "country_code": "US",
            "telephone_number": "910-715-6268",
            "fax_number": "910-715-6279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOODY",
        "first_name": "KAREN",
        "middle_name": "VIRGINIA",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L005334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.