Jodi Rae Moon, R.D., C.D.E
NPI 1679891501ActiveIndividual· Dietitian, Registered· Oregon City, OR
Dietitian, Registered (R.D., C.D.E) with Providence Health and Services Oregon and 1 other group, practicing in Oregon City, Oregon. Medicare paid $12,117 for services to 96 patients in 2024.
Overview
| NPI | 1679891501 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | R.D., C.D.E |
| Sole proprietor | No |
| NPI issued | May 17, 2010 |
| Last updated in NPPES | May 17, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 674 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 290 across 1 procedure code |
| Paid by Medicare | $12,117 |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
| Telehealth | Offers telehealth |
Medical groups
- Providence Health and Services OregonPortland, OR · 1,433 clinicians
- Providence Health and Services OregonMedford, OR · 170 clinicians
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