Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amy Moore, RD, LD, CDE

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1801010095

Amy Moore, RD, LD, CDE is a Registered Dietitian OR Nutrition Professional in Oklahoma City, Oklahoma. Qualified in 2003, 23 years ago. Practices with Community Health Centers, Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Licensed in
OK
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.
CDE — Certified Diabetes Educator
Teaches people to manage diabetes day to day.

See every abbreviation used in this directory →

Practice location Address checks out

12716 N.e 36th St
Oklahoma City, OK 73140
Phone: (405) 769-3301
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 940 North East 13th Street, Oklahoma City, OK 73104-5008 — (405) 271-6764

Specialties & licences

Pediatric Nutrition Registered Dietitian (primary) Taxonomy 133VN1004X · Licence 1287 (OK)

Record details

NPI number1801010095
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD , CDE
Sole proprietorNo
NPI enumeratedApril 12, 2007
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Community Health Centers, Inc. — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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