Healthcare Provider Details

I. General information

NPI: 1619892155
Provider Name (Legal Business Name): CATHERINE COUGHLIN HAUSER MPH RDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 QUADRANGLE DR STE 175
CHAPEL HILL NC
27517-8280
US

IV. Provider business mailing address

107 BLACK OAK PL
CHAPEL HILL NC
27517-6502
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-2912
  • Fax:
Mailing address:
  • Phone: 919-748-0660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL010172
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: