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 1:5324 MCFARLAND DR. # 150
Mailing Address - Street 2:LIFESTYLE MEDICAL CENTER
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:973-634-7989
Mailing Address - Fax:
Practice Address - Street 1:14 GRANDWOOD CIR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-8731
Practice Address - Country:US
Practice Address - Phone:973-634-7989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered