AMY MOORE RD, LD, CDE
NPI 1801010095
Dietitian, Registered - Nutrition, Pediatric in Oklahoma City, OK
About Amy Moore Rd, Ld, Cde NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY MOORE RD, LD, CDE (NPI 1801010095) is an individual nutrition, pediatric provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1287) and active in the NPI registry since April 2007. She maintains a secondary practice location in Oklahoma City and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amy Moore Rd, Ld, Cde 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.
Medicare Billing Reassignment
Medicare enrollment records show Amy Moore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oklahoma City, OK 73140
- Reassigned Medicare billing, Oklahoma enrollment
- 19 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Amy Moore's NPI number?
The NPI number for Amy Moore is 1801010095. It was assigned to this individual provider in the NPPES registry on April 12, 2007.
Where is Amy Moore located?
Amy Moore practices at 12716 N.E. 36th Street, Oklahoma City, OK 73140. The listed phone number is (405) 769-3301.
What is Amy Moore's specialty?
The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.
Is Amy Moore enrolled in Medicare?
Yes. Amy 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.
Which organization bills Medicare for Amy Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Moore reassigns Medicare benefits to Community Health Centers Inc. (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Moore accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Amy 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 Amy Moore was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Amy Moore, RD, LD, CDE · NPI 1801010095
Nutrition, Pediatric provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since April 12, 2007.
## Identity
- **NPI:** 1801010095 (Entity type: Individual)
- **Enumerated:** April 12, 2007
- **Primary specialty:** Dietitian, Registered - Nutrition, Pediatric · taxonomy 133VN1004X
- **State license:** 1287 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 12716 N.E. 36TH STREET, Oklahoma City, OK 73140
- **Phone:** (405) 769-3301
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Community Health Centers Inc. (NPI 1265415806, Oklahoma City, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1801010095) · Data from the CMS NPPES public registry.