Active NPI
Abigail Moon, RD
- Registered Dietitian
- Durham, NC
National Provider Identifier
1710633367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L006635
- Practice address
- 615 Douglas St Ste 500
Durham, NC 27705-6616 - Phone
- (919) 908-9730
- NPI assigned
- Feb 22, 2022
- 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 | L006635 | NC | Primary |
Addresses
Primary practice location
615 Douglas St Ste 500
Durham, NC 27705-6616
Mailing address
PO Box 13289
Durham, NC 27709-3289
Other names 1
- Abigail Rollison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 21, 2025 through Nov 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L006635 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veritas Collaborative, LLC | Past | Accepting new patients | |
| Veritas Collaborative, LLC | Past | Accepting new patients | |
| Veritas Collaborative North Carolina, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatric Hospital
- Durham, NC
- NPI 1760835144
-
- Multi-Specialty Clinic/Center
- Durham, NC
- NPI 1184167793
-
- Psychiatric Hospital
- Durham, NC
- NPI 1376817593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749254400000",
"number": "1710633367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13289",
"city": "DURHAM",
"state": "NC",
"postal_code": "277093289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 DOUGLAS ST STE 500",
"city": "DURHAM",
"state": "NC",
"postal_code": "277056616",
"telephone_number": "919-908-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOON",
"first_name": "ABIGAIL",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-22",
"last_updated": "2025-06-07",
"certification_date": "2025-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L006635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABIGAIL",
"last_name": "ROLLISON",
"credential": "RD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.