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

Mr. Jerry Ray Moody, MS, RD, CNSD

Individual provider Registered Dietitian · NPI 1902033087

Mr. Jerry Ray Moody, MS, RD, CNSD is a Registered Dietitian in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2009
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6346
Phone: (800) 325-3982
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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 D-593 (ID)

Record details

NPI number1902033087
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RD , CNSD
Sole proprietorYes
NPI enumeratedJune 16, 2009
Last updated in NPPESJune 16, 2009

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