Kristina Danielle Moore, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

4599 Issued in OH

Practice address

4100 W 3Rd St
Dayton, OH 45428-9000

Phone

(934) 268-6511

Fax

(937) 262-5967

NPI assigned

Aug 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992818173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W SHERRY DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454263524",
            "telephone_number": "937-854-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 3RD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454289000",
            "telephone_number": "934-268-6511",
            "fax_number": "937-262-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "KRISTINA",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "4599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justice Moore
• Kathleen Moore, MS, RDN, LD
• Keith Moore
• Kelli Moore
• Kenneth Levi Moore III, CNP
• Lauri May Moore, PTA
• Leeann Moore
• Meghan Moore, CNS
• Misty Lynne Moore, FNPC
• Nichole Lynn Moore, LPN

• Registered Dietitian in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Dietitian in Ohio

• 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.

Verify at the official NPI Registry.