Individual provider Active NPI

Patricia Diane Butler, RD, LDN, CDCES

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1669860623
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004281 Issued in NC
Practice address
1709 Sonesta CT
Raleigh, NC 27613-8562
Phone
(919) 622-2174
NPI assigned
Dec 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 L004281 NC Primary

Addresses

Primary practice location

1709 Sonesta CT
Raleigh, NC 27613-8562

Mailing address

1709 Sonesta CT
Raleigh, NC 27613-8562
Phone (919) 622-2175

Other names 1

  • Patricia Diane Butler Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104000622 NC Practitioner - Registered Dietitian Or Nutrition Professional 2264734540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.86 of 100Reported as group
Quality
68.55
Promoting interoperability
78
Improvement activities
40
Cost
75.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denis I Becker MD PA CurrentSince Aug 9, 2024 Accepting new patients
Break the Cycle Nutrition, LLC CurrentSince Nov 8, 2025 Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

2709 Blue Ridge Rd
Ste 320
Raleigh, NC 27607
Phone (919) 876-7692

Interoperability endpoints

  • Direct secure messaging: pbutler157354@direct.unc.nchie.net

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": "1419811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1669860623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 SONESTA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138562",
            "telephone_number": "919-622-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 SONESTA CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276138562",
            "telephone_number": "919-622-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "PATRICIA",
        "middle_name": "DIANE",
        "credential": "RD, LDN, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BUTLER",
            "middle_name": "DIANE",
            "credential": "RD, LDN, CDCES",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Oct 30, 2025; 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.