Joanna Avery, MS, RDN, CDCES
Dietitian, Registered in Newport Beach, CA. Individual provider (NPI-1).
NPI number1487081600
StatusActive
Last updated in NPPESJan 16, 2026
Details
- NPI
- 1487081600
- Entity type
- Individual (NPI-1)
- Name
- Joanna Avery
- Credential
- MS, RDN, CDCES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 2, 2013
- Certification date
- Jan 16, 2026
- Last updated
- Jan 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Other names
- Joanna Gallo Moreno (Former Name)
Practice location
520 Superior AveNewport Beach, CA 92663-3637
Phone 949-764-8065
Mailing address
520 Superior AveNewport Beach, CA 92663-3637
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