Active NPI
Ellen Marie Michal, RD
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1366852329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001531
- Practice address
- 3301 Executive Dr
Raleigh, NC 27609-7432 - Phone
- (919) 954-3174
- NPI assigned
- Apr 30, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001531 | NC | Primary |
Addresses
Primary practice location
3301 Executive Dr
Raleigh, NC 27609-7432
Mailing address
3301 Executive Dr
Raleigh, NC 27609-7432
Phone (919) 954-3174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke Health Integrated Practice, Inc. | Current | Accepting new patients | |
| Duke Health Integrated Practice, Inc | Current | Accepting new patients | |
| Duke University Health System, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186
40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588
2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289
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
-
- Certified Registered Nurse Anesthetist
- Durham, NC
- NPI 1558392977
Dietitian, Registered
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1780374884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1366852329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 EXECUTIVE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097432",
"telephone_number": "919-954-3174",
"fax_number": "919-954-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 EXECUTIVE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097432",
"telephone_number": "919-954-3174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAL",
"first_name": "ELLEN",
"middle_name": "MARIE",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-30",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Christine Marie Michaels, LMBT
- Jaime Havah Eliana Michaels, DNP, MSN, PMHNP-BC
- Jordan Michaels, BSN, RN, ONC
- Scott R Michaels, LMFT
- Julie Beth Howell Michaelsen
- Kenneth Joe Michau II, MD
- Brent Michel, LCMHC
- David Pierre Abraham Michel, MD
- Denise Littles Michel, MD
- Regina Catrice Michel, MSN,APRN, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.