Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Alyssa Ann Moore, RD

Individual provider Registered Dietitian · NPI 1609686047

Alyssa Ann Moore, RD is registered under Registered Dietitian OR Nutrition Professional in Dallas, Texas. Qualified in 2024, 2 years ago. Practices with Doherty Nutrition LLC, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2025
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

17060 Dallas Pkwy Ste 112
Dallas, TX 75248-1905
Phone: (469) 372-2022
Fax: (833) 290-5413
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence DT91731 (TX)

Record details

NPI number1609686047
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Doherty Nutrition Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Colleagues at Doherty Nutrition LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 16 clinicians in the practice; 12 are shown here.

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