IndividualActive
Alice Moore-Gregory, RDN, LD
NPI 1871465690 · Registered Dietitian · Tijeras, NM
Provider details
- NPI number
- 1871465690
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1290 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
67 Carlisle Rd
Tijeras, NM 87059-8025
Phone: (505) 410-1922
Approximate (ZIP-level) locationGet directions
Mailing address
67 Carlisle Rd
Tijeras, NM 87059-8025
Registry dates
- Enumerated
- 2025-09-22
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.