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

Havalah Moore

Individual provider Registered Dietitian · NPI 1598556441

Havalah Moore is a Registered Dietitian OR Nutrition Professional in Durham, North Carolina. Qualified in 2022, 4 years ago. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

2608 Erwin Rd Ste 200
Durham, NC 27705-4597
Phone: (919) 684-2471
Fax: (919) 681-1397
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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 L004882 (NC)

Record details

NPI number1598556441
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address256 Still Pasture Ln, Graham, NC 27253-4281

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)
Accepts Medicare assignment Not indicated

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