Provider Demographics
NPI:1700471976
Name:MASON, MORGAN (RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:
Last Name:MASON
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:
Other - Last Name:CADRETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:9401 CRETE CIR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-1015
Mailing Address - Country:US
Mailing Address - Phone:334-220-2491
Mailing Address - Fax:205-344-9992
Practice Address - Street 1:1410 MCFARLAND BLVD N
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-2209
Practice Address - Country:US
Practice Address - Phone:205-345-8208
Practice Address - Fax:205-345-8209
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2897133N00000X, 133NN1002X
AL1074947133VN1301X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology