Jaclyn Vaughn Moore, RD - Dietitian in Louisville, KY

Jaclyn Vaughn Moore, RD is a Dietitian, Registered based in Louisville, Kentucky. Jaclyn Vaughn Moore is licensed to practice in Kentucky (license number 163224) and her current practice location is 234 E Gray St Ste 164, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at (502) 629-2405.

NPI number for Jaclyn Vaughn Moore is 1629684907 and her current mailing address is 4804 Deer Meadow Ln, La Grange, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629684907.

Contact Information

Jaclyn Vaughn Moore, RD
234 E Gray St Ste 164,
Louisville, KY 40202-1903
(502) 629-2405
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJaclyn Vaughn Moore
GenderFemale
SpecialityDietitian, Registered
Location234 E Gray St Ste 164, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629684907
  • Provider Enumeration Date: 09/22/2020
  • Last Update Date: 09/22/2020

Medical Identifiers

Medical identifiers for Jaclyn Vaughn Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629684907NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 163224 (Kentucky)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Vaughn Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jaclyn Vaughn Moore, RD
4804 Deer Meadow Ln,
La Grange, KY 40031-6717

Ph: (502) 645-9066
Jaclyn Vaughn Moore, RD
234 E Gray St Ste 164,
Louisville, KY 40202-1903

Ph: (502) 629-2405

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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