MARISSA ANN MOORE B.S.
NPI 1861153405
Nutritionist in Florissant, MO

Q: What is Marissa Moore's NPI number?

The NPI number for Marissa Moore is 1861153405. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Q: What is Marissa Moore's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Moore was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 05, 2022

75 DE SMET DR, FLORISSANT, MO 63031(314) 348-1629 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marissa Ann Moore B.s. NPPES

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

MARISSA ANN MOORE B.S. (NPI 1861153405) is an individual nutritionist in Florissant, Missouri and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1861153405

Entity TypeIndividualFemale

Primary Taxonomy133N00000X

Provider Legal NameMARISSA ANN MOORECredential: B.S.

Location Address75 DE SMET DRFlorissant, MO 63031-8404

Mailing Address75 De Smet DrFlorissant, MO 63031-8404 · (314) 348-1629

Phone(314) 348-1629

Sole ProprietorNo

Enumeration DateJanuary 5, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1861153405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers

Taxonomy Code133N00000X

Definition

A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.

75 DE SMET DR, Florissant, MO 63031

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Other Identifiers 1

Medicaid1234567590MO

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 Marissa Moore's NPI number?

The NPI number for Marissa Moore is 1861153405. It was assigned to this individual provider in the NPPES registry on January 5, 2022.

Where is Marissa Moore located?

Marissa Moore practices at 75 De Smet Dr, Florissant, MO 63031. The listed phone number is (314) 348-1629.

What is Marissa Moore's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

When was this NPI record last updated?

The NPPES record for Marissa Moore was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.