IndividualActive
Jaclyn Moore, RD
NPI 1629684907 · Registered Dietitian · Louisville, KY
Jaclyn Moore, RD is a Registered Dietitian provider in Louisville, KY (NPI 1629684907).
Provider details
- NPI number
- 1629684907
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- License
- 163224 (KY)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
234 E Gray St Ste 164
Louisville, KY 40202-1903
Phone: (502) 629-2405
Street-level locationGet directions
Mailing address
4804 Deer Meadow Ln
La Grange, KY 40031-6717
Registry dates
- Enumerated
- 2020-09-22
- Last updated
- 2020-09-22
- Certified
- 2020-09-22
Frequently asked questions
- What is Jaclyn Moore's NPI number?
- Jaclyn Moore's National Provider Identifier (NPI) is 1629684907, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jaclyn Moore's specialty?
- Jaclyn Moore is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jaclyn Moore located?
- Jaclyn Moore's practice location on file with NPPES is 234 E Gray St Ste 164, Louisville, KY 40202-1903.
- What is Jaclyn Moore's phone number?
- The practice phone number listed in the NPPES registry for Jaclyn Moore is (502) 629-2405.
- Is Jaclyn Moore's NPI active?
- Yes — Jaclyn Moore's NPI (1629684907) is active in the NPPES registry as of the last update on 2020-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.