JILLIAN MOORE (NPI# 1306312723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306312723 |
Entity Type | Individual |
Full Name | JILLIAN MOORE |
Credential | LD, RDN |
Practice Address |
25617 S Harris Rd Greenwood MO 64034-8247 |
Practice Telephone | 8168309214 |
Mailing Telephone | 8168309214 |
Enumeration Date | 2018-10-24 |
Last Update Date | 2018-10-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 133V00000X | Dietitian, Registered | 2017036202 | MO | Dietary & Nutritional Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144684085 | Jillian Moore | Obstetrics & Gynecology | 4400 Broadway Blvd Ste 302, Kansas City, MO 64111-3342 | 2016-04-06 |
1497014682 | Jillian Leigh Moore | Nurse Anesthetist, Certified Registered | 4533 Cedar Springs Rd Apt F3, Dallas, TX 75219-1379 | 2012-05-09 |
1124631809 | Jillian C Moore | Massage Therapist | 2930 N Country Club Rd, Tucson, AZ 85716-1912 | 2020-08-24 |
1124678255 | Jillian Moore | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2019-09-20 |
1588160477 | Jillian Moore | Student in an Organized Health Care Education/Training Program | Msc 09-5040 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2018-04-01 |
1598293169 | Jillian Moore | Case Manager/Care Coordinator | 1200 W Center St, Greenwood, AR 72936-3716 | 2017-05-26 |
1245588987 | Jillian Leigh Moore | Clinical Neuropsychologist | 145 Hodencamp Rd Ste 100, Thousand Oaks, CA 91360 | 2012-08-28 |
1558650663 | Jillian G Moore | Family Medicine | 10 S Pointe Lndg, Suite 250, Rochester, NY 14606-3481 | 2011-03-30 |
Street Address |
25617 S HARRIS RD |
City | GREENWOOD |
State | MO |
Zip Code | 64034-8247 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740744515 | Danielle Renee Allison | Student in an Organized Health Care Education/Training Program | 1014 Peggy Dr., Greenwood, MO 64034 | 2019-01-25 |
1255516621 | Merrick Care Corp | Psychologist | 100 20th Ave S, Greenwood, MO 64034-8611 | 2008-01-04 |
1821605643 | Melissa Janea Nyquist | Counselor | 1405 Cypress Dr, Greenwood, MO 64034-8626 | 2020-09-25 |
1770754871 | Angels Home Direct Care | Day Training, Developmentally Disabled Services | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2008-03-17 |
1528313947 | Wilfred Wallang Ebua | Psychologist | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2012-07-23 |
1356627160 | Clarisse Ekei Ebua | Physical Therapy Assistant | 1905 Arapahoe Ct, Greenwood, MO 64034-8636 | 2011-10-25 |
1770769556 | Lindsey Ky Mathews-willbanks | Audiologist | 30311 E Stringtown Rd, Greenwood, MO 64034-8699 | 2008-01-11 |
1174783328 | Gina Clouse | Speech-Language Pathologist | 1603 Kimberly Ct, Greenwood, MO 64034-8700 | 2008-06-11 |
1497219398 | Kelly Godbey | Student in an Organized Health Care Education/Training Program | 1303 Willow Dr, Greenwood, MO 64034-9110 | 2019-01-24 |
1811398670 | Lori Oster | Social Worker | 107 Cayuga Ln, Lake Winnebago, MO 64034-9303 | 2014-09-11 |
Find all providers in zip 64034 |
Taxonomy Code | 133V00000X |
Grouping | Dietary & Nutritional Service Providers |
Classification | Dietitian, Registered |
A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942813324 | Morgan Stasik | Dietitian, Registered | 3364 Auburn Ct, Greenwood, IN 46143-9259 | 2020-08-26 |
1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
1093220790 | Shannon Grove | Dietitian, Registered | 500 Polk St Ste 24, Greenwood, IN 46143-1638 | 2017-12-05 |
1235398819 | Amy Watson | Dietitian, Registered | 812 Knollwood Dr, Greenwood, IN 46142-2019 | 2008-06-09 |
1386259786 | Amanda Jo Pantone | Dietitian, Registered | 3000 S State Road 135, Greenwood, IN 46143-9825 | 2020-09-11 |
1922619550 | Abby Self | Dietitian, Registered | 333 E County Line Rd Ste B, Greenwood, IN 46143-1080 | 2020-08-17 |
1912558016 | Cassidy Wheeler | Dietitian, Registered | 607 Greenwood Springs Dr, Greenwood, IN 46143-6377 | 2019-09-20 |
1215592258 | Paula R Johnson | Dietitian, Registered | 1325 Spring St, Greenwood, SC 29646-3875 | 2019-05-06 |
1154847374 | Kaitlyn Wong | Dietitian, Registered | 533 E County Line Rd Ste 101, Greenwood, IN 46143-1074 | 2017-08-18 |
1881051738 | Cynthia Wilson | Dietitian, Registered | 128 Maxwell Ave, Suite F, Greenwood, SC 29646-2641 | 2016-01-23 |
Find all providers in GREENWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.