STACEY MOORE (NPI# 1386075331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386075331 |
| Entity Type | Individual |
| Full Name | STACEY MOORE |
| Practice Address |
5124 Roemer Lane Sacramento CA 95820-3033 |
| Mailing Address |
5124 Roemer Ln Sacramento CA 95820-3033 |
| Practice Telephone | 9167174995 |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558872341 | Stacey Brigham Moore | Day Training, Developmentally Disabled Services | 4321 Nw State Road 270, Bristol, FL 32321-2303 | 2017-10-19 |
| 1184153553 | Stacey Hurst Moore | Counselor | 4020 Richards Rd Ste F, North Little Rock, AR 72117-2744 | 2017-06-08 |
| 1942310404 | Stacey Moore | Pharmacist | 2418 Sylvester Rd, Albany, GA 31705-2468 | 2006-08-30 |
| 1265085237 | Stacey Moore | Social Worker | 719 Thompson Ln Ste 30330, Nashville, TN 37204-4701 | 2019-07-18 |
| 1457837452 | Stacey D Moore | Dental Hygienist | 6850 Upper Box Elder Rd, Box Elder, MT 59521-9073 | 2018-07-13 |
| 1184079873 | Stacey Marie Moore | Counselor | 1509 Maple St, Scranton, PA 18505-2707 | 2016-04-29 |
| 1174913297 | Stacey Moore | Massage Therapist | 440 Columbia Blvd, Saint Helens, OR 97051-1910 | 2015-01-27 |
| 1982887493 | Stacey Denise Moore | Surgery | 1550 First Colony Blvd, Sugar Land, TX 77479-4000 | 2007-12-07 |
| 1225210206 | Stacey L Moore | Counselor | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2007-11-30 |
| 1275684268 | Stacey J Moore | Registered Nurse | 1955 Dixie Hwy, Ste C, Ft Wright, KY 41011-2792 | 2007-01-16 |
| Street Address |
5124 ROEMER LANE |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95820-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1730737727 | Vincent Tang | Student in an Organized Health Care Education/Training Program | 3230 Sher Court, Sacramento, CA 95820 | 2019-09-03 |
| 1871159897 | Lauren Smith | Student in an Organized Health Care Education/Training Program | Department of Pediatrics Uc Davis Children's Hospital, 3671 Business Dr. Suite #110, Sacramento, CA 95820 | 2019-05-15 |
| 1053899336 | Melissa Anne Jeffery | Community Health Worker | 4600 Broadway Suite 1300, Sacramento, CA 95820 | 2018-07-30 |
| 1841785284 | Chelsea Kirstin Acker | Student in an Organized Health Care Education/Training Program | 3671 Business Dr., Sacramento, CA 95820 | 2018-06-28 |
| 1770022667 | Shelly Valdez | Behavior Technician | 5520 Priscilla Ln, Sacramento, CA 95820 | 2017-02-13 |
| 1285184135 | Trang Thu Tran | Registered Nurse | 5385 Franklin Blvd Ste A-d, Sacramento, CA 95820 | 2016-10-04 |
| 1356716039 | Nicole Hisaka | Psychologist | 3651 Business Dr, Sacramento, CA 95820 | 2015-12-07 |
| 1538542469 | Universal Med Express, LLC | Non-emergency Medical Transport (VAN) | 3230 27th Ave, Sacramento, CA 95820 | 2015-07-09 |
| 1033507470 | Moua Yang | Case Manager/Care Coordinator | 7373 14th Ave, Suite 120-b, Sacramento, CA 95820 | 2015-01-08 |
| Find all providers in zip 95820 | ||||
| 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 |
|---|---|---|---|---|
| 1235744624 | Brosnan Rhodes | Dietitian, Registered | 3142 3rd Ave, Sacramento, CA 95817-2713 | 2020-09-11 |
| 1679188379 | Nachuan Luo | Dietitian, Registered | 8701 Center Pkwy, Sacramento, CA 95823-7918 | 2020-09-10 |
| 1194343202 | Danielle Erika Laub | Dietitian, Registered | 3508 Del Sol Way, Sacramento, CA 95834-1486 | 2020-07-06 |
| 1285259283 | Uc Davis Health | Dietitian, Registered | 2315 Stockton Blvd Sesp 0160, Sacramento, CA 95817 | 2020-06-15 |
| 1689297913 | Shir Toledano | Dietitian, Registered | 860 Larch Ln, Sacramento, CA 95864-5042 | 2020-05-21 |
| 1184268435 | Lisa Mathews | Dietitian, Registered | 811 Grand Ave Ste A-4, Sacramento, CA 95838-3466 | 2019-10-30 |
| 1548801905 | Cheyenne Rose Mulder | Dietitian, Registered | 3940 Silver Spur Way, Sacramento, CA 95841-4412 | 2019-10-07 |
| 1205301538 | Silena Ann Barton | Dietitian, Registered | 3725 42nd St, Sacramento, CA 95820-1316 | 2018-10-13 |
| 1801301569 | Healthy Balance 3 | Dietitian, Registered | 3713 2nd Ave, Sacramento, CA 95817-3001 | 2017-12-04 |
| 1457809725 | Sarah Margaret Carson Brunelle | Dietitian, Registered | 200 Penhow Cir, Sacramento, CA 95834-2582 | 2016-09-15 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95820 |
Please comment or provide details below to improve the information on STACEY MOORE.
| 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.