MARTHA MUNN CAMACHO (NPI# 1407931736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407931736 |
| Entity Type | Individual |
| Full Name | MARTHA MUNN CAMACHO |
| Credential | M.S., R.D., L.D.N. |
| Practice Address |
1301 Fayetteville St Lincoln Community Health Center Durham NC 27701 |
| Mailing Address |
1612 Bramble Drive Durham NC 27712-1212 |
| Practice Telephone | 9199564042 |
| Mailing Telephone | 9194716561 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L000158 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGISTERED DIETITIAN | 11456 | 01 | |
| NC | LICENSED DIETITIAN NUTRIT | L000158 | 01 |
| Street Address |
1301 FAYETTEVILLE ST LINCOLN COMMUNITY HEALTH CENTER |
| City | DURHAM |
| State | NC |
| Zip Code | 27701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235121385 | John Thomas Witchger | Counselor | 1301 Fayetteville St, Durham, NC 27707-2325 | 2005-08-16 |
| 1417566613 | Rebecca Anne Kyle | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2020-07-24 |
| 1275195166 | Kiersten Denise Bethea | Dentist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2019-07-01 |
| 1184182206 | Ashley Disean Green | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2398 | 2019-03-07 |
| 1093280117 | Isaac Yaw Boadi Nuamah | Nurse Practitioner | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-10-04 |
| 1477033835 | Edmund Christopher Horgan Iv | Physician Assistant | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-08-15 |
| 1568960219 | Dan M Dewitya | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-29 |
| 1891203519 | Steven Devere Lundeen | Pharmacist | 1301 Fayetteville St, Durham, NC 27707-2325 | 2018-01-16 |
| 1982146312 | Cameron Cutler | Dietitian, Registered | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-11-16 |
| 1326598558 | Charita Kincy Mccollers | Social Worker | 1301 Fayetteville St, Durham, NC 27707-2325 | 2016-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382010 | Catherine Suzanne Rudolph | Dietitian, Registered | 845 Ivy Meadow Ln Apt 3b, Durham, NC 27707-5905 | 2020-09-29 |
| 1477171601 | Julie Stoops | Dietitian, Registered | 40 Duke Medicine Cir Bsmt Level015, Durham, NC 27710-4000 | 2020-07-14 |
| 1437775756 | Ann Margaret Shelton | Dietitian, Registered | 40 Medicine Circle Drive 2j Clinic, Durham, NC 27710-0001 | 2020-06-23 |
| 1467077826 | Ella Lundquist | Dietitian, Registered | Dumc 3655, Durham, NC 27710-0001 | 2020-06-11 |
| 1528683174 | Laura Elizabeth Niederer | Dietitian, Registered | 40 Duke Medicine Cir # 2j, Durham, NC 27710-4000 | 2020-06-10 |
| 1144845967 | Charlotte Walker | Dietitian, Registered | 35 Cedar Point Rd, Durham, NH 03824-3306 | 2020-06-09 |
| 1851927917 | Asta Feng | Dietitian, Registered | 130 Lochridge Dr, Durham, NC 27713-9139 | 2020-03-20 |
| 1649819707 | Cherie Nichol Barnes | Dietitian, Registered | 3508 Golden Heather Dr, Durham, NC 27712-3148 | 2020-01-06 |
| 1265081400 | Logan Pace | Dietitian, Registered | 1415 Broad St, Durham, NC 27705-3534 | 2019-09-10 |
| 1780239400 | Elizabeth Barnes | Dietitian, Registered | 6015 Fayetteville Rd Ste 116, Durham, NC 27713-6254 | 2019-08-08 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.