Healthcare Provider Details

I. General information

NPI: 1225519325
Provider Name (Legal Business Name): MORGAN CARPENTER MS, RDN/LDN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USAF-OHWS PERFORMANCE RD 205 SWEENEY BLVD
HAMPTON AA
23665
US

IV. Provider business mailing address

546 ROGERS AVE
HAMPTON VA
23664-1536
US

V. Phone/Fax

Practice location:
  • Phone: 757-225-9676
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0001313231
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number39356-DI-O
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: