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PHYLLIS BERGIE-MOORE RD
NPI 1164669792
Dietitian, Registered - Nutrition, Metabolic in Santa Rosa, CA

Active since January 20, 2009
144 STONY POINT RD, SANTA ROSA, CA 95401(707) 521-4649(707) 521-4628 Get Directions Write a Review

NPPES record last updated: April 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis Bergie-moore Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS BERGIE-MOORE RD (NPI 1164669792) is an individual nutrition, metabolic provider in Santa Rosa, California and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1164669792
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NamePHYLLIS BERGIE-MOORECredential: RD
Location Address144 STONY POINT RDSanta Rosa, CA 95401-4122
Mailing Address144 Stony Point RdSanta Rosa, CA 95401-4122 · (707) 521-4649 · Fax (707) 521-4628
Phone(707) 521-4649
Fax(707) 521-4628
Sole ProprietorNo
Enumeration DateJanuary 20, 2009
Last NPPES UpdateApril 29, 2010
✔ NPI 1164669792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
Definition
A registered dietitian who achieves specialized competency in metabolic nutrition.
144 STONY POINT RD, Santa Rosa, CA 95401
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Other Names 1

Former Name (1)Phyllis Vaughn Lrd

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN BETTY KRUUSMAGI MD
Family Medicine
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4500
SONOMA COUNTY INDIAN HEALTH PROJECT INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4545
DAVID WILLIAM MCGAHEE LCSW
Social Worker (Clinical)
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4545
DR. MICHAEL BERNARD WILDER D.C.
Chiropractor
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4685
NOELLE DALY PA
Physician Assistant
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4545
DR. TIMOTHY SAMUEL TONG PHARM D.
Pharmacist
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4545
MARK VOORHEES DARLINGTON
Pharmacist
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 525-4585
DR. KATHERINE BARNES DUNCAN PHARMD
Pharmacist
144 STONY POINT RD
SANTA ROSA, CA 95401
Sonoma County (707) 521-4590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Bergie-moore's NPI number?

The NPI number for Phyllis Bergie-moore is 1164669792. It was assigned to this individual provider in the NPPES registry on January 20, 2009. The provider is also known as Phyllis Vaughn Lrd.

Where is Phyllis Bergie-moore located?

Phyllis Bergie-moore practices at 144 Stony Point Rd, Santa Rosa, CA 95401. The listed phone number is (707) 521-4649.

What is Phyllis Bergie-moore's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Phyllis Bergie-moore was last updated on April 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.