Individual provider · Type 1 NPI

Amy Moore, RD, LD, CDE

Pediatric Nutrition Registered Dietitian · Oklahoma City, OK

NPI number 1801010095 Active

Practice location

12716 N.e. 36th Street
Oklahoma City, OK 73140

Mailing address

PO Box 30589
Midwest City, OK 73140-3589

Other practice locations

  • 940 North East 13th Street, 2B2426, Oklahoma City, OK 73104-5008 · (405) 271-6764

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X1287 (OK)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1801010095

Amy Moore, RD, LD, CDE's National Provider Identifier is 1801010095, issued on Apr 12, 2007. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Oklahoma City, OK. The record was last updated on Mar 17, 2018.