Individual provider Active NPI

Maribel Medina de la Barrera

  • Registered Dietitian
  • Raleigh, NC
National Provider Identifier
1861942831
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L004770 Issued in NC
Practice address
1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone
(919) 833-3111
NPI assigned
Oct 13, 2016
Last updated
Jul 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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 L004770 NC Primary

Addresses

Primary practice location

1011 Rock Quarry Rd
Raleigh, NC 27610-3825

Mailing address

7915 Clover Creek CT
Raleigh, NC 27613-5218

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523000740 NC Practitioner - Registered Dietitian Or Nutrition Professional 7416224407 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
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)

6330 Quadrangle Dr
Suite 175
Chapel Hill, NC 27517-7813
Phone (919) 445-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L004770NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Community Health, Inc Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 8, 2022 Accepting new patients
Unc Physicians Network LLC CurrentSince Oct 6, 2022 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Advance Community Health, Inc CurrentSince Jun 10, 2022 Accepting new patients
Gibbons Family Medicine Past Accepting new patients

Locations

1525 Apex Peakway
Ste 200
Apex, NC 27502
Phone (919) 363-9363

187 High House Rd
Cary, NC 27511

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

6330 Quadrangle Dr
Ste 175
Chapel Hill, NC 27517
Phone (919) 445-6000

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

7011 Fayetteville Rd
Ste 200
Durham, NC 27713
Phone (919) 361-2644

7011 Fayetteville Rd
Ste 210
Durham, NC 27713
Phone (919) 806-3335

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

111 S Church St
Louisburg, NC 27549
Phone (919) 250-2923

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

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

1011 Rock Quarry Rd
Raleigh, NC 27610
Phone (919) 250-2978

1430 S Wilmington St
Raleigh, NC 27603

2620 New Bern Ave
Raleigh, NC 27610
Phone (919) 255-6721

Interoperability endpoints

  • Direct secure messaging: mmedinadelabarrera179560@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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499731200000",
    "number": "1861942831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7915 CLOVER CREEK CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 ROCK QUARRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276103825",
            "telephone_number": "919-833-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA DE LA BARRERA",
        "first_name": "MARIBEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004770",
            "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 Jul 11, 2017; 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.