Active NPI
Michelle Futrell
- Registered Dietitian
- Raleigh, NC
National Provider Identifier
1427350438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L002336
- Practice address
- 3400 Executive Dr
Raleigh, NC 27609-7476 - Phone
- (919) 946-1573
- Fax
- (919) 855-8040
- NPI assigned
- Nov 23, 2010
- Last updated
- Nov 23, 2010
- 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 | L002336 | NC | Primary |
Addresses
Primary practice location
3400 Executive Dr
Raleigh, NC 27609-7476
Mailing address
1908 Quail Ridge Rd
Raleigh, NC 27609-4136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L002336 | NC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1427350438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1908 QUAIL RIDGE RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276094136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 EXECUTIVE DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097476",
"telephone_number": "919-946-1573",
"fax_number": "919-855-8040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUTRELL",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L002336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.