Active NPI
Maria Narisa Tucker
- Registered Dietitian
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001119
- Practice address
- 407 Crutchfield St
Durham, NC 27704-2726 - Phone
- (919) 470-7006
- NPI assigned
- Sep 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | L001119 | NC | |
| Registered Dietitian | 133V00000X | L001119 | NC | Primary |
Addresses
Primary practice location
407 Crutchfield St
Durham, NC 27704-2726
Mailing address
5 White Willow CT
Durham, NC 27703-9469
Phone (919) 417-2420
Other names 1
- Miss Maria Narisa Riego
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Epic | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3480 Wake Forest Rd
Suite 502
Raleigh, NC 27609-7376
Phone (919) 684-8111
Hospital & facility affiliations
- Duke Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001119 | NC | MD | Obesity and Weight Management Nutrition Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke University Health System, Inc. | Current | Accepting new patients |
Locations
1234 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-1234
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
407 Crutchfield St
Durham, NC 27704
Phone (919) 470-6516
1352 Mebane Oaks Rd
Mebane, NC 27302
Phone (919) 525-3632
3480 Wake Forest Rd
Ste 502
Raleigh, NC 27609
Phone (919) 420-5000
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.
-
- General Practice Physician
- Durham, NC
- NPI 1205553369
-
- Internal Medicine Physician
- Durham, NC
- NPI 1376574798
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durham, NC
- NPI 1871592113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1043824907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WHITE WILLOW CT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277039469",
"telephone_number": "919-417-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CRUTCHFIELD ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042726",
"telephone_number": "919-470-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MARIA",
"middle_name": "NARISA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1201X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": "NC",
"license": "L001119",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001119",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Epic",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "407 Crutchfield St",
"city": "Durham",
"state": "NC",
"country_code": "US",
"postal_code": "277042726",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARIA",
"last_name": "RIEGO",
"middle_name": "NARISA",
"prefix": "MISS",
"credential": "RD, LDN",
"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 Sep 8, 2020; 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.