Active NPI
Jordan Miller Wingate, MS, RD, LDN
- Registered Dietitian
- Hickory, NC
National Provider Identifier
1356986079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86072145
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 86072145 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Renal Care of North Carolina LLC | Current | Accepting new patients | |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
| Total Renal Care of North Carolina LLC | Past | 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Hickory, NC
- NPI 1487156253
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Greensboro, NC
- NPI 1588462469
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.