NPIMap

Individual provider Active NPI

Catherine Mariel Caceres, RPA-C

  • Medical Physician Assistant
  • Raleigh, NC
National Provider Identifier
1083888739
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-02639 Issued in NC
Practice address
10211 Alm St
Raleigh, NC 27617-8221
Phone
(919) 206-4889
Fax
(919) 206-4875
NPI assigned
Apr 14, 2008
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012505 NY
Medical Physician Assistant 363AM0700X 0010-02639 NC Primary

Addresses

Primary practice location

10211 Alm St
Raleigh, NC 27617-8221

Mailing address

722 Bay Bouquet LN
Apex, NC 27523-9311
Phone (516) 312-7346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110805000675 NC Practitioner - Physician Assistant 7719034883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Duke Health Cary PL
Suite 110
Cary, NC 27519-6760
Phone (919) 385-4855

1821 Hillandale Rd
Durham, NC 27705-2671

1901 Hillandale Rd
Durham, NC 27705-2664

267 S Churton St
Suite 200
Hillsborough, NC 27278-2696
Phone (919) 643-4511

3000 Rogers Rd
Wake Forest, NC 27587-5745

401 Irving Pkwy
Holly Springs, NC 27540-5301

7021 Harps Mill Rd
Raleigh, NC 27615-3240
Phone (919) 576-8480

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
012505NYMDDental Hygienist
0010-02639NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Jul 1, 2011 Accepting new patients
Duke Health Integrated Practice, Inc. Past Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Duke University Health System, Inc. Past Accepting new patients
St Johns Emergency Medical Services PC Past Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1868

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 643-4511

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

7021 Harps Mill Rd
Raleigh, NC 27615
Phone (919) 576-8480

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

Interoperability endpoints

  • Direct secure messaging: ccaceres3846@direct.medicine.duke.edu

Organizations & group practices 6

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1083888739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 BAY BOUQUET LN",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275239311",
            "telephone_number": "516-312-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 ALM ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178221",
            "telephone_number": "919-206-4889",
            "fax_number": "919-206-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "CATHERINE",
        "middle_name": "MARIEL",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-14",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012505",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.