ANTHONY MOORE
NPI 1669252037
Dietitian, Registered in Fort Drum, NY

Active since October 03, 2023
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(888) 838-1303 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 13, 2026, Mar 9, 2026, Oct 11, 2023 and 1 more (4 updates tracked since 2023).

About Anthony Moore NPPES

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

ANTHONY MOORE (NPI 1669252037) is an individual dietitian, registered in Fort Drum, New York and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1669252037
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANTHONY MOORE
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address5489 Cypress PtSchertz, TX 78108-2509 · (810) 877-5451
Sole ProprietorYes
Enumeration DateOctober 3, 2023
Last NPPES UpdateApril 13, 20264 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1669252037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.

11050 MT BELVEDERE BLVD, Fort Drum, NY 13602

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.

Social Worker (Clinical)
11050 MT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FORT DRUM, NY 13602
Physician Assistant (Medical)
11050 MT BELVEDERE BLVD, USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602
Physical Therapy Assistant
11050 MT BELVEDERE BLVD, USA MEDDAC /CREDENTIALS
FORT DRUM, NY 13602
Registered Nurse (Community Health)
11050 MT BELVEDERE BLVD, USA MEDDAC/CREDENTIALS
FT. DRUM, NY 13602
Clinical Nurse Specialist (Family Health)
11050 MT BELVEDERE BLVD, USA MEDDAC
FORT DRUM, NY 13602
Psychologist (Clinical)
11050 MT BELVEDERE BLVD, USA MBDACC
FORT DRUM, NY 13602
Physical Therapist
11050 MT BELVEDERE BLVD, USA MEDDAC / CREDENTIALS
FORT DRUM, NY 13602
Emergency Medicine
11050 MT BELVEDERE BLVD, USA/MEDDAC/CREDENTIALS
FORT DRUM, NY 13602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669252037, enumerated as an "individual" on October 03, 2023.

The provider is located at 11050 MT BELVEDERE BLVD FORT DRUM, NY 13602 and the phone number is (888) 838-1303.

Dietitian, Registered with taxonomy code 133V00000X.