TRACY MOORE


Address: 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679
Phone: 9072127982

TRACY MOORE (NPI# 1588024483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588024483
Entity Type Individual
Full Name TRACY MOORE
Credential RD
Practice Address 3220 Providence Dr
Suite E3-030
Anchorage
AK 99508-4679
Mailing Address Po Box 4105
Portland
OR 97208-4105
Practice Telephone 9072127982
Practice Fax Number 9072127981
Mailing Telephone 8669071068
Mailing Fax Number 4259179141
Enumeration Date 2016-03-04
Last Update Date 2017-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 119517 AK Dietary & Nutritional Service Providers
N 133V00000X Dietitian, Registered LD-D-10161588 OR Dietary & Nutritional Service Providers

Other Providers TRACY MOORE

NPI Name Taxonomy Address Enumeration
1598130395 Tracy Moore Licensed Practical Nurse 2 Laura Ln, Otisville, NY 10963-2316 2015-12-04
1154536134 Tracy Lenore Moore Licensed Practical Nurse 1046 Lakegrove Ct, Westerville, OH 43081-1958 2007-05-11
1497388417 Tracy Moore Physical Medicine & Rehabilitation 1335 Cypress St Ste 100, San Dimas, CA 91773-3538 2020-02-18
1538711510 Tracy Moore Behavior Technician 9480 Three Rivers Rd, Gulfport, MS 39503-4248 2019-07-10
1982143152 Tracy Leigh Moore Case Manager/Care Coordinator 3001 Warrior Ln, Poplar Bluff, MO 63901-8685 2017-02-21
1144684358 Tracy Moore Technician 419 N Broadway, Locust Grove, OK 74352-5020 2016-04-13
1457743221 Tracy Moore Social Worker 654 Ne 9th Pl, Homestead, FL 33030-4934 2015-03-03
1558614677 Tracy J Moore Counselor 5500 Executive Center Dr, Charlotte, NC 28212-8856 2012-10-26
1861716649 Tracy Moore Physical Therapist 40 N Main St, Bellingham, MA 02019-1590 2010-03-23
1417188558 Tracy C. Moore Registered Nurse 830 S Limestone Street, Lexington, KY 40536-2477 2009-08-06

Office Location

Street Address 3220 PROVIDENCE DR
SUITE E3-030
City ANCHORAGE
State AK
Zip Code 99508-4679

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518936871 John M Clark Internal Medicine 3220 Providence Dr, Ste E3040, Anchorage, AK 99508 2006-03-17
1982047437 Alaska Trauma & Acute Care Surgery, LLC Surgery 3220 Providence Dr, Suite E3 040, Anchorage, AK 99508-4679 2013-04-15
1477891364 Alaska Heart Institute Clinic/Center 3220 Providence Dr, Suite E3-083, Anchorage, AK 99508-4679 2013-01-28
1477863140 Molly Tarby Dietitian, Registered 3220 Providence Dr, Suite E3-030, Anchorage, AK 99508-4679 2010-10-15
1891988036 Peter D Riley Md Internal Medicine 3220 Providence Dr, Suite E 3040, Anchorage, AK 99508-4679 2007-08-21
1295855716 Pulmonary Associates LLC Internal Medicine 3220 Providence Dr, Suite E 3040, Anchorage, AK 99508-4615 2007-03-29
1447370952 Matthew C Berenson Internal Medicine 3220 Providence Dr, Suite E 3040, Anchorage, AK 99508-4615 2007-03-29
1982719530 Ann Reed Dietitian, Registered 3220 Providence Dr, E3-030, Anchorage, AK 99508-4679 2006-08-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
Find all providers in zip 99508

Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124631759 Britta Amber Brecheen Dietitian, Registered 3403 Lois Dr, Anchorage, AK 99517-2000 2020-08-24
1396217261 Angela Marie Colburn Dietitian, Registered 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 2018-12-17
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
1366950842 Haley Hughes Dietitian, Registered 3240 Providence Drive, Suite A453, Anchorage, AK 99508 2018-01-18
1457867830 Ashley Lynn Funk Dietitian, Registered 6043 E 22nd Ave, Anchorage, AK 99504-3211 2017-12-20
1932614120 Reroot Nutrition Dietitian, Registered 10328 Valley Park Dr, Anchorage, AK 99507-7322 2017-12-09
1225547813 Joanna K Bryant Dietitian, Registered 2651 Debarr Road, Suite 250, Alaska Regional Hospital Health Management Center, Anchorage, AK 99508 2017-09-26
1801337027 Sarah Zou Dietitian, Registered 3620 Providence Dr, Suite 322, Anchorage, AK 99508 2017-03-20
1700333408 Siena Vanucci Dietitian, Registered 10047 Nantucket Cir, Anchorage, AK 99507-4438 2016-09-09
Find all providers in ANCHORAGE

Competitor

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City ANCHORAGE
Zip Code 99508

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Dataset Information

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.

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