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MR. JERRY RAY MOODY MS, RD, CNSD
NPI 1902033087
Dietitian, Registered in Saint Louis, MO

Active since June 16, 2009
12647 OLIVE BLVD STE 600, SAINT LOUIS, MO 63141(800) 325-3982 Get Directions Write a Review

NPPES record last updated: June 16, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jerry Ray Moody Ms, Rd, Cnsd NPPES

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

MR. JERRY RAY MOODY MS, RD, CNSD (NPI 1902033087) is an individual dietitian, registered in Saint Louis, Missouri, licensed in Idaho (D-593) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1902033087
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMR. JERRY RAY MOODYCredential: MS, RD, CNSD
Location Address12647 OLIVE BLVD STE 600Saint Louis, MO 63141-6346
Mailing Address4008 Nordland TrlCastle Rock, CO 80109-7937 · (303) 814-1511
Phone(800) 325-3982
Sole ProprietorYes
Enumeration DateJune 16, 2009
✔ NPI 1902033087 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 ID · D-593
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.
12647 OLIVE BLVD STE 600, Saint Louis, MO 63141
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Other Providers at the Same Location NPPES 18

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

EVELYN VIRGINIA ROGERS
Counselor (Addiction (Substance Use Disorder))
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
DR. DAVID VERLE SHOEMAKER PH.D.
Psychologist (Clinical)
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4223
ANDREW LANDEROS
Pharmacist
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MARTINA KUKOLJA
Internal Medicine
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4205
NICOLE STOVER
Dental Hygienist
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
KARENIA LI
Psychologist
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
DEBBIE CATHY YEN
Pharmacist
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MICHELLE LYNN CRANDELL
Dental Hygienist
12647 OLIVE BLVD STE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982

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 Jerry Moody's NPI number?

The NPI number for Jerry Moody is 1902033087. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Jerry Moody located?

Jerry Moody practices at 12647 Olive Blvd Ste 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Jerry Moody's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerry Moody was last updated on June 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.