JACLYN VAUGHN MOORE (NPI# 1629684907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629684907 |
| Entity Type | Individual |
| Full Name | JACLYN VAUGHN MOORE |
| Credential | RD |
| Practice Address |
234 E Gray St Ste 164 Louisville KY 40202-1903 |
| Mailing Address |
4804 Deer Meadow Ln La Grange KY 40031-6717 |
| Practice Telephone | 5026292405 |
| Mailing Telephone | 5026459066 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 163224 | KY | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992186506 | Jaclyn Moore | Counselor | 2577 S Five Mile Rd Ste 101, Boise, ID 83709 | 2015-06-10 |
| 1114428364 | Jaclyn Marie Moore | Occupational Therapist | 10000 Telegraph Rd, Taylor, MI 48180-3330 | 2018-02-23 |
| 1992137848 | Jaclyn M Moore | Licensed Practical Nurse | 777 37th St, Suite B107, Vero Beach, FL 32960-4873 | 2013-08-02 |
| 1679739759 | Jaclyn Moore | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2008-07-29 |
| 1073669354 | Jaclyn Lee Moore | Pharmacist | 67-1185 Mamalahoa Hwy, Kamuela, HI 96743-7304 | 2007-01-26 |
| Street Address |
234 E GRAY ST STE 164 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1851908727 | Laura Elizabeth Dean | Dietitian, Registered | 411 E Chestnut St Ste 544, Louisville, KY 40202-1713 | 2020-09-25 |
| 1790391118 | Elizabeth Marie Riddle | Dietitian, Registered | 4955 Norton Healthcare Blvd Ste 102, Louisville, KY 40241-2832 | 2020-09-21 |
| 1801401294 | Elizabeth Bell | Dietitian, Registered | 241 Franck Ave, Louisville, KY 40206-2544 | 2020-09-11 |
| 1235751504 | Jessica Leigh Heckroth | Dietitian, Registered | 633 E Main St Unit 558, Louisville, KY 40202-4711 | 2020-05-10 |
| 1164060356 | Jennifer Nixon | Dietitian, Registered | 3329 Wellingmoor Ave, Louisville, KY 40218-1028 | 2019-12-18 |
| 1023669025 | Olivia Nell Hoelker | Dietitian, Registered | 9105 Hassy Way, Louisville, KY 40299-6645 | 2019-09-23 |
| 1649829128 | Brooke Carroll Hendrick | Dietitian, Registered | 4506 Epinay Ct, Louisville, KY 40272-2777 | 2019-09-08 |
| 1407315153 | Shawn A. Sales | Dietitian, Registered | 1607 Bonnycastle Ave, Louisville, KY 40205-1012 | 2019-03-12 |
| 1821588443 | Catherine Boston | Dietitian, Registered | 2602 Merriwood Dr, Louisville, KY 40299-1735 | 2018-05-18 |
| 1689175283 | Katie Eileen Johnson | Dietitian, Registered | 4804 Nottinghamshire Dr, Louisville, KY 40299-1033 | 2018-02-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.