TRACY MOORE (NPI# 1588024483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
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 |
Street Address |
3220 PROVIDENCE DR SUITE E3-030 |
City | ANCHORAGE |
State | AK |
Zip Code | 99508-4679 |
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 |
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 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 |
---|---|---|---|---|
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 |
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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.