Raquel Durban, MS, RD, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1075612 Issued in NC

Practice address

2600 E 7TH St Unit a
Charlotte, NC 28204-4398

Phone

(704) 372-7900

NPI assigned

Jun 4, 2012

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

Enrolled in NC, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: raquel.durban.p1@direct.caac.nextgenshare.com

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.

• Asthma & Allergy Specialists, P.a.

  • Specialist
  • Charlotte, NC
  • NPI 1013093038
  Medicare reassignment NPD
• Carolina Asthma and Allergy Center PA

  • Allergy & Immunology Physician
  • Charlotte, NC
  • NPI 1215995444

  SC

  Medicare reassignment NPD
• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1922369222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-372-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8045 Providence Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282778745",
            "country_code": "US",
            "telephone_number": "704-341-9600 x1302",
            "fax_number": "866-731-3793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURBAN",
        "first_name": "RAQUEL",
        "name_prefix": "Prof.",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "1075612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Duprey
• Kimberly E. Dupuis, LPC
• Takyma Durant-Wright
• James McDowell Durant III, MD
• Mabel Elizabeth Durante
• Courtney Durbin, PA
• Samantha Durbin, DPT
• Calvin Durham, M/A, LCAS-A
• Camillah Durham
• Heather Conarroe Durham, MA, LPCA

• Registered Dietitian in Charlotte, NC
• Providers in Charlotte, 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 May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.