SHANNON SUMMERS MOORE MS, RD
NPI 1164807913
Dietitian, Registered in Ferrum, VA

Q: What is the provider's specialty?

The provider's specialty is Dietitian, Registered with taxonomy code 133V00000X.

Active since July 22, 2015

180 FERRUM MOUNTAIN RD, FERRUM, VA 24088(540) 365-4469 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 3, 2021, Nov 8, 2021 (2 updates tracked since 2021).

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Individual
Female
Dietitian, Registered

About SHANNON MOORE

This page provides the complete NPI Profile along with additional information for Shannon Moore, a provider established in Ferrum, Virginia with a medical specialization in Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1164807913 assigned on July 2015. The practitioner's primary taxonomy code is 133V00000X with license number L004590 (NC). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI: 1164807913 Verify this NPI
Provider Name: SHANNON SUMMERS MOORE MS, RD
Gender: Female
Entity Type: Individual
Location Address: 180 FERRUM MOUNTAIN RD FERRUM, VA 24088
Location Phone: (540) 365-4469
Mailing Address: 993 VISTA LN HIAWASSEE, GA 30546
Mailing Phone: (804) 543-9344
Is Sole Proprietor?: No
Enumeration Date: 07-22-2015
Last Update Date: 12-03-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Dietitian, Registered
Taxonomy Code: 133V00000X
Type: Dietary & Nutritional Service Providers
License No.: L004590
License State: NC
Taxonomy Description: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.