ALYSSA ANN MOORE RD
NPI 1609686047
Dietitian, Registered in Dallas, TX

Active since January 08, 2025Accepts Medicare Assignment
17060 DALLAS PKWY STE 112, DALLAS, TX 75248(469) 372-2022(833) 290-5413 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Alyssa Ann Moore Rd NPPES

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

ALYSSA ANN MOORE RD (NPI 1609686047) is an individual dietitian, registered in Dallas, Texas, licensed in Texas (DT91731) and active in the NPI registry since January 2025. She is a graduate of Other (2024).

NPPES Registry Identity

NPI1609686047
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameALYSSA ANN MOORECredential: RD
Location Address17060 DALLAS PKWY STE 112Dallas, TX 75248-1905
Mailing Address17060 Dallas Pkwy Ste 112Dallas, TX 75248-1905
Fax(833) 290-5413
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 8, 2025
NPPES CertifiedJanuary 8, 2025
NPI 1609686047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in TX · DT91731
Definition

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.

17060 DALLAS PKWY STE 112, Dallas, TX 75248

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyssa Ann Moore Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991220428
PECOS Enrollment IDI20250417001121

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.18 – $172.86
Typical copayment $0.00 (range $14.29 – $43.21)
Most-billed visit code NA
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248
Dietitian, Registered
17060 DALLAS PKWY STE 112
DALLAS, TX 75248

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 Alyssa Moore's NPI number?

The NPI number for Alyssa Moore is 1609686047. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Alyssa Moore located?

Alyssa Moore practices at 17060 Dallas Pkwy Ste 112, Dallas, TX 75248. The listed phone number is (469) 372-2022.

What is Alyssa Moore's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Alyssa Moore enrolled in Medicare?

Yes. Alyssa Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alyssa Moore accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Alyssa Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alyssa Moore was last updated on January 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.