Active NPI
Michelle Lynn Bean, RDN, MPH, LDN
- Registered Dietitian
- Durham, NC
National Provider Identifier
1447768965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L001302
- Practice address
- 3903 Kettering Drive
Durham, NC 27713 - Phone
- (719) 808-8370
- NPI assigned
- Jan 18, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001302 | NC | Primary |
Addresses
Primary practice location
3903 Kettering Drive
Durham, NC 27713
Mailing address
3903 Kettering Drive
Durham, NC 27713
Phone (919) 808-8370
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, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5601 Arringdon Park Dr
Suite 150
Morrisville, NC 27560-5643
Phone (919) 385-6510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001302 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Duke University Affiliated Physicians, Inc. | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
5601 Arringdon Park Dr
Ste 150
Morrisville, NC 27560
Phone (919) 385-6510
7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316975972
-
- Family Medicine Physician
- Durham, NC
- NPI 1225073554
-
- Emergency Medicine Physician
- Raleigh, NC
- NPI 1710120795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1447768965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3903 KETTERING DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "919-808-8370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 KETTERING DRIVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27713",
"telephone_number": "719-808-8370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "MICHELLE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RDN, MPH, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 21, 2022; 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.