Individual provider Active NPI

Jordan Miller Wingate, MS, RD, LDN

  • Registered Dietitian
  • Hickory, NC
National Provider Identifier
1356986079
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86072145 Issued in NC
Practice address
1900 3Rd Avenue LN SE
Hickory, NC 28602-2959
Phone
(828) 304-0102
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86072145 NC Primary

Addresses

Primary practice location

1900 3Rd Avenue LN SE
Hickory, NC 28602-2959

Mailing address

220 Pine Meadows Cir
Hickory, NC 28601-8624
Phone (336) 328-5712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86072145NCMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Total Renal Care of North Carolina LLC CurrentSince Mar 30, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients
Total Renal Care of North Carolina LLC PastSince Mar 30, 2025 Accepting new patients

Locations

1900 3rd Avenue Ln SE
Hickory, NC 28602
Phone (828) 304-0102

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1356986079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 PINE MEADOWS CIR",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286018624",
            "telephone_number": "336-328-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 3RD AVENUE LN SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286022959",
            "telephone_number": "828-304-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGATE",
        "first_name": "JORDAN",
        "middle_name": "MILLER",
        "credential": "MS, RD, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "86072145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.