Carmen Rebecca Cucalon, RD,LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L007415 Issued in NC

Practice address

40 Duke Medicine Circle, Room 015 Purple Zone
Durham, NC 27710

Phone

(919) 668-2290

NPI assigned

Sep 26, 2024

Last updated

Sep 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1780402065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 15TH ST APT 222",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053970",
            "telephone_number": "401-284-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DUKE MEDICINE CIRCLE, ROOM 015 PURPLE ZONE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27710",
            "telephone_number": "919-668-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCALON",
        "first_name": "CARMEN",
        "middle_name": "REBECCA",
        "credential": "RD,LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Cruz, PHARMD
• Nicholas Cruz, LPTA
• Kelli Cryer
• Amy Ruth Csorba
• Janice Cuaresma, MA, LCMHCA, NCC
• Michael Cuffe, M.D.
• Rowena Dolor Cuffe, MD
• Christina Liu Cui
• Mark Michael Cullen
• Brynn Cullinan

• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.