Active NPI
Abigail Manasco
- Registered Dietitian
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 3369
- Practice address
- 619 19TH St S
Birmingham, AL 35249-3803 - Phone
- (205) 934-4011
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 3369 | AL | Primary |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35249-3803
Mailing address
PO Box 55310
Birmingham, AL 35255-5310
Phone (205) 731-9701
Other practice location 1
1167 Amberley Woods Dr
Helena, AL 35080-3803
Phone (205) 789-8188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3369 | AL | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872
515 S Flower St
#1015
Los Angeles, CA 90071
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1326804501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 55310",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352555310",
"telephone_number": "205-731-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 19TH ST S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352493803",
"telephone_number": "205-934-4011"
}
],
"practiceLocations": [
{
"address_1": "1167 Amberley Woods Dr",
"address_purpose": "LOCATION",
"city": "Helena",
"state": "AL",
"postal_code": "350803803",
"country_code": "US",
"telephone_number": "205-789-8188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANASCO",
"first_name": "ABIGAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "3369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.