Provider Demographics
NPI:1215388756
Name:CATON, MICHAELA CAROLL (RDN)
Entity type:Individual
Prefix:MS
First Name:MICHAELA
Middle Name:CAROLL
Last Name:CATON
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 TRIDENT CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8692
Mailing Address - Country:US
Mailing Address - Phone:919-990-1130
Mailing Address - Fax:984-244-0506
Practice Address - Street 1:6801 PLEASANT PINES DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-1938
Practice Address - Country:US
Practice Address - Phone:919-990-1130
Practice Address - Fax:984-244-0506
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133V00000X
NCL004939133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered