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

Bethany Grace Moran, RDN

Individual provider Registered Dietitian · NPI 1417672007

Bethany Grace Moran, RDN is a Registered Dietitian OR Nutrition Professional in Rochester, New York. Qualified in 2022, 4 years ago. Practices with Internal Medicine Group, a 166-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Licensed in
NY
In the registry since
2022
Specialties on file
3
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

46 Prince St Ste 3001
Rochester, NY 14607-1023
Phone: (585) 602-0801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 000000 (NY)
Registered Dietitian Taxonomy 133V00000X
Health Educator Taxonomy 174H00000X

Record details

NPI number1417672007
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorNo
NPI enumeratedOctober 6, 2022
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Internal Medicine Group — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rochester