STEPHANIE L MOORE DIETITIAN
NPI 1760651947
Dietitian, Registered in Hattiesburg, MS

Q: What is Stephanie Moore's NPI number?

The NPI number for Stephanie Moore is 1760651947. It was assigned to this individual provider in the NPPES registry on February 21, 2008.

Q: What is Stephanie Moore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stephanie Moore was last updated on February 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 21, 2008

66 OLD AIRPORT RD, HATTIESBURG, MS 39401(601) 582-2619(601) 544-4557 Get Directions Write a Review

NPPES record last updated: February 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stephanie L Moore Dietitian NPPES

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

STEPHANIE L MOORE DIETITIAN (NPI 1760651947) is an individual dietitian, registered in Hattiesburg, Mississippi, licensed in Mississippi (D1108) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1760651947

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEPHANIE L MOORECredential: DIETITIAN

Location Address66 OLD AIRPORT RDHattiesburg, MS 39401-8382

Mailing AddressPo Box 1729Hattiesburg, MS 39403-1729 · (601) 545-8700 · Fax (601) 582-5461

Phone(601) 582-2619

Fax(601) 544-4557

Sole ProprietorNo

Enumeration DateFebruary 21, 2008

✔ NPI 1760651947 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 MS · D1108

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.

66 OLD AIRPORT RD, Hattiesburg, MS 39401

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Other Providers at the Same Location NPPES 19

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

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