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Active NPI 1164807913 Individual Practitioner Female Practitioner

Shannon Summers Moore , MS, RD

Dietitian, Registered • Ferrum, VA

Professional Overview & Biography Verified Profile Summary

Shannon Moore, MS, RD is a registered healthcare professional specializing in Dietitian, Registered in Ferrum, VA. Practice services are available at 180 FERRUM MOUNTAIN RD under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure reassessment for nutrition management, each, medical nutrition therapy, assessment and intervention, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

180 Ferrum Mountain Rd

Ferrum, VA 240882939

Telephone 5403654469
Associated Practice Facility / Clinic
🏢 Tri Area Community Health Facility NPI 1477619179

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Ferrum, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Ferrum, VA (1320 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
5.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97803 Therapy procedure reassessment for nutrition management, each 15 minutes
55 12 $23.27 $22.80
97802 Medical nutrition therapy, assessment and intervention, each 15 minutes
48 13 $27.99 $25.81

Medical Specialties & State Licenses

CMS Verified: 2021-12-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License NC L004590

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Brittany Butler , PA-C

Physician Assistant - Medical

NPI 1023476207

Physician Assistant (Certified)

Katherine Wood , FNP

Nurse Practitioner - Family

NPI 1033752738

Family Nurse Practitioner

Dr. Jeremiah Burkhart , PsyD

Psychologist - Counseling

NPI 1104112986

Doctor of Psychology (Psy.D.)

Cynthia Hernandez , MSW

Social Worker - Clinical

NPI 1235376500

Master of Social Work

NPI 1447919337

Licensed Clinical Professional Counselor, Registered Art Therapist - Board Certified, NBCHWC

Victor Rivera Sink , MS, LPC

Counselor - Mental Health

NPI 1497352645

Master of Science, Licensed Professional Counselor

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 08, 2021

Registered at 180 FERRUM MOUNTAIN RD, FERRUM, VA 240882939 (Tel: 5403654469)

📍
Updated Business Mailing Address November 08, 2021

Registered at 993 VISTA LN, HIAWASSEE, GA 305463980 (Tel: 8045439344)

👤
Provider Name / Credentials Updated November 08, 2021

Recorded as SHANNON MOORE, MS, RD

NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2015

Registered at 1 RIVERSIDE CIR, HAYESVILLE, NC 289047946 (Tel: 8283988052)

📍
Updated Business Mailing Address July 22, 2015

Registered at 1 RIVERSIDE CIR, HAYESVILLE, NC 289047946 (Tel: 8283988052)

👤
Provider Name / Credentials Updated July 22, 2015

Recorded as SHANNON SUMMERS, MS, RD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Dietitian, Registered (License #L004590 in NC)

🟢
Initial NPI Registration & Enumeration July 22, 2015

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: 1164807913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2015
Last Update: December 03, 2021
Sole Proprietor: No

Mailing Address

993 Vista Ln

Hiawassee, GA 305463980

Phone: 8045439344

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.