MS. REBECCA J. MOORE (NPI# 1497900278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497900278 |
| Entity Type | Individual |
| Full Name | MS. REBECCA J. MOORE |
| Credential | RD, CDE, LD |
| Practice Address |
950 E Bogard Rd Suite 207 Wasilla AK 99654-7184 |
| Practice Telephone | 9073572332 |
| Practice Fax Number | 9073572344 |
| Mailing Telephone | 9073572332 |
| Mailing Fax Number | 9073572344 |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 47 | AK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780144998 | Rebecca Moore | Registered Nurse | 60 Horseshoe Dr, Palmerton, PA 18071-6216 | 2019-03-22 |
| 1184107146 | Rebecca Moore | Counselor | 13800 W Wood River Rd, Wood River, NE 68883-9456 | 2018-09-14 |
| 1669953998 | Rebecca Charmaine Moore | Speech-Language Pathologist | 201 Oldtown Dr, Lexington, SC 29072-7221 | 2018-08-24 |
| 1437645371 | Rebecca Moore | Pharmacist | 2200 Harding Pl, Nashville, TN 37215-4145 | 2018-07-03 |
| 1447771001 | Rebecca Lynn Moore | Social Worker | 300 Pettigru St Ste 202, Greenville, SC 29601-3113 | 2017-07-03 |
| 1780023184 | Rebecca R. Moore | Case Manager/Care Coordinator | 206 Hamilton Dr, Westminster, SC 29693-1541 | 2013-06-19 |
| 1023395431 | Rebecca Ayne Moore | Advanced Practice Midwife | 1111 Ronald Reagan Pkwy # C1600, Avon, IN 46123-7085 | 2011-11-14 |
| 1285890954 | Rebecca Moore | Speech-Language Pathologist | 7201 N Classen Blvd, Suite 106, Oklahoma City, OK 73116-7100 | 2008-08-01 |
| 1962471573 | Rebecca L Moore | Internal Medicine | 6440 S Pontiac Ct, Centennial, CO 80111-4622 | 2006-03-16 |
| 1467051888 | Rebecca Lynn Moore | Nurse Practitioner | 302 Ne 14th St, Leon, IA 50144-1206 | 2020-10-19 |
| Street Address |
950 E BOGARD RD SUITE 207 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831188473 | Laura Jean Peterson | Pediatrics | 950 E Bogard Rd, Ste 233, Wasilla, AK 99654-7184 | 2005-10-17 |
| 1801314927 | Tracie East | Physical Therapist | 950 E Bogard Rd, Wasilla, AK 99654-7184 | 2017-09-08 |
| 1346776150 | Patricia B Payne | Nurse Practitioner | 950 E Bogard Rd, Suite #228, Wasilla, AK 99654-7184 | 2017-05-11 |
| 1578928628 | Gagnon Plastic and Reconstructive Surgery | Plastic Surgery | 950 E Bogard Rd, Suite 209, Wasilla, AK 99654-7184 | 2015-12-16 |
| 1659700292 | Hillary Ryan Linden | Physician Assistant | 950 E Bogard Rd, Suite 103, Wasilla, AK 99654-7184 | 2013-11-04 |
| 1578995304 | Mat-su Neurology, LLC | Clinic/Center | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2013-08-03 |
| 1114269313 | Odland Family Practice Clinic, LLC | Family Medicine | 950 E Bogard Rd, Suite 234, Wasilla, AK 99654-7184 | 2013-03-26 |
| 1619212479 | Janet L Shelley | Nurse Practitioner | 950 E Bogard Rd, Suite 233, Wasilla, AK 99654-7184 | 2012-12-05 |
| 1366752560 | Mat-su Valley IIi LLC | Internal Medicine | 950 E Bogard Rd, Suite 207, Wasilla, AK 99654-7184 | 2010-10-21 |
| 1700013570 | David Dwight Buckland | Psychiatry & Neurology | 950 E Bogard Rd, Suite 213, Wasilla, AK 99654-7184 | 2009-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
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| 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 |
|---|---|---|---|---|
| 1528594694 | Ashley Buchanan | Dietitian, Registered | 1001 Knik Goose Bay Road, Wasilla, AK 99654 | 2017-05-10 |
| 1356964662 | Allison Michelle Hillen | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2020-05-20 |
| 1750889234 | Southcentral Foundation | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2018-01-30 |
| 1689194250 | Southcentral Foundation | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2017-06-23 |
| 1841721164 | Kylie Jane Viens | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2017-03-27 |
| 1497165963 | Alesya Oleynik | Dietitian, Registered | 1001 S Knik Goose Bay Rd, Wasilla, AK 99654-8083 | 2014-05-05 |
| 1265607360 | Laura Phillips | Dietitian, Registered | 2000 E Industrial Dr, Wasilla, AK 99654-8201 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1518579473 | Soleil Thiele | Dietitian, Registered | 2210 N Broadway Dr, Palmer, AK 99645-9316 | 2020-08-20 |
| 1619593449 | Audrey Conrad | Dietitian, Registered | 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 | 2020-06-17 |
| 1952934895 | Lea Palmer | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-19 |
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1326506866 | Balance and Nourish | Dietitian, Registered | 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 | 2019-03-04 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1730658493 | Emily Nicole Henry | Dietitian, Registered | 97 Eichner Ave, Ketchikan, AK 99901-9033 | 2018-11-24 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
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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.