Kelly C. Moore Lawyer, MS, RD, IBCLC, BSN
NPI 1689715732ActiveIndividual· Dietitian, Registered· Aurora, CO
Dietitian, Registered (MS, RD, IBCLC, BSN) with Boulder Community Health, practicing in Aurora, Colorado. Medicare paid $5,478 for services to 70 patients in 2024.
Overview
| NPI | 1689715732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, RD, IBCLC, BSN |
| Sole proprietor | No |
| NPI issued | Feb 10, 2007 |
| Last updated in NPPES | Feb 3, 2026 |
| Certified by provider | Feb 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | CDR819430 | CO |
| Registered Nurse | 163W00000X | RN.1646745 | CO |
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 (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 153 across 3 procedure codes |
| Paid by Medicare | $5,478 |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Boulder Community HealthBoise, ID · 264 clinicians
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