Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY MOORE, RD, LD, CDE
ActivePediatric Nutrition · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1801010095
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2007 (19.027296644217 yrs)
- Last Updated
- Mar 17, 2018
- License
-
1287 (OK)
Practice Information
- Address
-
12716 N.E. 36TH STREETOKLAHOMA CITY, OK, 73140Browse OK providers · Browse ZIP 73140
- Phone
- 4057693301
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Other Pediatric Nutrition Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| REBECCA MICHELLE SUDDOCK | MS,RD/LD,CSP | 1992008452 |
| MRS. HEATHER DAWN BROWN | RD,LD | 1619312865 |
| KATY MARIE MILLER | MA, RD/LD | 1982281119 |
| MADDISON JOSIE WILLIAMS | MS, RD/LD | 1750269106 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.