Individual provider Active NPI

Abigail P Morningstar, RD

  • Registered Dietitian
  • Walhalla, SC
National Provider Identifier
1881383099
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
2244 Issued in SC
Practice address
200 Booker Dr
Walhalla, SC 29691-2278
Phone
(864) 656-3076
Fax
(864) 985-9562
NPI assigned
May 3, 2023
Last updated
May 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 2244 SC Primary

Addresses

Primary practice location

200 Booker Dr
Walhalla, SC 29691-2278

Mailing address

101 Edwards Hall
Clemson, SC 29634-0001
Phone (864) 656-3076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231011003026 SC Practitioner - Registered Dietitian Or Nutrition Professional 7315392339 Reassigns benefits to 1 organization

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
Group practices
Clemson UniversityGroup PAC ID 1850393786, 8 clinicians

Practice addresses (Care Compare)

101 Edwards Hall
Clemson, SC 29634
Phone (864) 656-3076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2244SCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Clemson University CurrentSince Aug 28, 2023 Accepting new patients
Clemson University CurrentSince Aug 3, 2025 Accepting new patients

Locations

101 Edwards Hall
Clemson, SC 29634
Phone (864) 656-3076

201 Epsilon Zeta Rd
Clemson, SC 29634
Phone (864) 656-3076

200 Booker Dr
Walhalla, SC 29691
Phone (864) 656-3076

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1881383099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 EDWARDS HALL",
            "city": "CLEMSON",
            "state": "SC",
            "postal_code": "296340001",
            "telephone_number": "864-656-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOOKER DR",
            "city": "WALHALLA",
            "state": "SC",
            "postal_code": "296912278",
            "telephone_number": "864-656-3076",
            "fax_number": "864-985-9562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "ABIGAIL",
        "middle_name": "P",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "2244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walhalla, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.

Verify at the official NPI Registry.