Active NPI
Jennifer Hawthorne Ingraham, MS, RD, LDN
- Registered Dietitian
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007386
- Practice address
- 4501 Cameron Valley Pkwy Ste 300
Charlotte, NC 28211-4368 - Phone
- (704) 381-8840
- NPI assigned
- Jan 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007386 | NC | Primary |
Addresses
Primary practice location
4501 Cameron Valley Pkwy Ste 300
Charlotte, NC 28211-4368
Mailing address
1001 Blythe Blvd Ste 200
Charlotte, NC 28203-5865
Phone (704) 381-8840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L007386 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients |
Locations
1001 Blythe Blvd
Ste 200
Charlotte, NC 28203
Phone (704) 373-0544
1001 Blythe Blvd
Ste 601
Charlotte, NC 28203
Phone (704) 355-6930
4501 Cameron Valley Pkwy
Ste 300
Charlotte, NC 28211
Phone (704) 355-0101
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1090 NE Gateway Ct NE
Ste 204
Concord, NC 28025
Phone (704) 403-7020
Networks
- devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Surgical Critical Care Physician
- Charlotte, NC
- NPI 1699979732
-
- Community/Retail Pharmacy
- Charlotte, NC
- NPI 1982710554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1003625641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 BLYTHE BLVD STE 200",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035865",
"telephone_number": "704-381-8840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 CAMERON VALLEY PKWY STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114368",
"telephone_number": "704-381-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGRAHAM",
"first_name": "JENNIFER",
"middle_name": "HAWTHORNE",
"credential": "MS, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.