Individual provider Active NPI

Megan Abigail Caudle-Patton, RD

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1306578398
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L006919 Issued in NC
Practice address
8801 Fast Park Dr Ste 213
Raleigh, NC 27617-4853
Phone
(919) 442-8398
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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 L006919 NC Primary

Addresses

Primary practice location

8801 Fast Park Dr Ste 213
Raleigh, NC 27617-4853

Mailing address

2533 Valley Haven Dr
Raleigh, NC 27603-3303
Phone (704) 437-3267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 4, 2024 through Nov 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L006919NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
LG Nutrition LLC Dietitian, Registered CurrentSince Jul 3, 2022 Accepting new patients
Christine Byrne Nutrition LLC, Dba Ruby Oak Nutrition Dietitian, Registered PastSince Sep 14, 2025 Accepting new patients
Christine Byrne Nutrition LLC Dietitian, Registered PastSince Dec 14, 2025 Accepting new patients

Locations

8801 Fast Park Dr
Ste 213
Raleigh, NC 27617
Phone (919) 442-8398

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.

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1306578398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 VALLEY HAVEN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276033303",
            "telephone_number": "704-437-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FAST PARK DR STE 213",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276174853",
            "telephone_number": "919-442-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDLE-PATTON",
        "first_name": "MEGAN",
        "middle_name": "ABIGAIL",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.