Individual provider Active NPI

Michael Barreras, RDN

  • Registered Dietitian
  • Goldsboro, NC
National Provider Identifier
1477227254
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L001091 Issued in NC
Practice address
208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414
Phone
(919) 731-6018
Fax
(919) 580-7010
NPI assigned
Aug 4, 2021
Last updated
Oct 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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 L001091 NC Primary

Addresses

Primary practice location

208 Cox Blvd Ste 102
Goldsboro, NC 27534-9414

Mailing address

106 Little River Dr
Goldsboro, NC 27530-9004
Phone (919) 920-4207

Other practice location 1

106 Little River Dr
Goldsboro, NC 27530-9004
Phone (919) 920-4207

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbarreras744796@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211005003339 NC Practitioner - Registered Dietitian Or Nutrition Professional 3678971678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

107 Airport Rd
Kinston, NC 28501-1603
Phone (252) 527-4146

204 Cox Blvd
Goldsboro, NC 27534-9414
Phone (919) 587-3970

208 Cox Blvd
Goldsboro, NC 27534-9414

2600 Ushwy 70 W
Goldsboro, NC 27530-7779
Phone (919) 739-4808

2607 Medical Office PL
Goldsboro, NC 27534-9437

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L001091NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Sep 1, 2021 Accepting new patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Jun 1, 2024 Accepting new patients
Gibbons Family Medicine Past Accepting new patients
University of North Carolina Hospitals at Chapel Hill Past Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Cox Blvd
Ste 102
Goldsboro, NC 27534
Phone (919) 731-6018

2600 US Highway 70 W
Goldsboro, NC 27530
Phone (919) 739-4808

2607 Medical Office Pl
Ste A
Goldsboro, NC 27534
Phone (919) 739-9060

107 Airport Rd
Kinston, NC 28501
Phone (252) 208-2658

109 Airport Rd
#A
Kinston, NC 28501
Phone (252) 643-7575

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4680 US Highway 117 N
Pikeville, NC 27863
Phone (919) 242-5271

Interoperability endpoints

  • Direct secure messaging: mbarreras744796@direct.unc.nchie.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1477227254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 LITTLE RIVER DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309004",
            "telephone_number": "919-920-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COX BLVD STE 102",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349414",
            "telephone_number": "919-731-6018",
            "fax_number": "919-580-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Little River Dr",
            "address_purpose": "LOCATION",
            "city": "Goldsboro",
            "state": "NC",
            "postal_code": "275309004",
            "country_code": "US",
            "telephone_number": "919-920-4207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARRERAS",
        "first_name": "MICHAEL",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L001091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbarreras744796@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "208 Cox Blvd Ste 102",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.

Verify at the official NPI Registry.