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Deactivated NPI 1477839694 Deactivated / Inactive NPI Female Practitioner

Judith M. Moylan , RD, LD, MSH

Dietitian, Registered • Flagler Beach, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Judith Moylan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2011
NPI Deactivation Date May 10, 2021
Total Practice Duration ~10 Years of Practice (2011 – 2021)

Professional Overview & Biography Verified Profile Summary

Judith Moylan, RD, LD, MSH was a registered Dietitian, Registered practicing in Flagler Beach, FL. Throughout an active medical career spanning 10 years, Judith Moylan provided care at the practice location at 2119 JOYCE ST until profile deactivation on 2021-05-10.

Practice Location & Contact Primary Location

Practice Address

2119 Joyce St

Flagler Beach, FL 321363439

Telephone 3864393103

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Flagler Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Flagler Beach, FL (3492 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License IL R302924

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 10, 2021

Record deactivated on May 10, 2021

NPI Profile Active November 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 02, 2011

Registered at 2119 JOYCE ST, FLAGLER BEACH, FL 321363439 (Tel: 3864393103)

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Updated Business Mailing Address November 02, 2011

Registered at 2119 JOYCE ST, FLAGLER BEACH, FL 321363439 (Tel: 3864393103)

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Provider Name / Credentials Updated November 02, 2011

Recorded as JUDITH MOYLAN, RD,LD,MSH

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2011

Dietitian, Registered (License #R302924 in IL)

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Initial NPI Registration & Enumeration November 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1477839694
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2011
Last Update: November 02, 2011
Deactivation Date: May 10, 2021

Mailing Address

2119 Joyce St

Flagler Beach, FL 321363439

Phone: 3864393103

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.