Active NPI
Joseph Christian Pardue, R.D.
- Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1437110186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 870940
- Practice address
- 190 Kimel Park Dr
Winston-Salem, NC 27103-6946 - Phone
- (336) 768-3296
- Fax
- (336) 760-5484
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- 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 | 870940 | NC | Primary |
Addresses
Primary practice location
190 Kimel Park Dr
Winston-Salem, NC 27103-6946
Mailing address
5260 Camp Betty Hastings Rd
Walkertown, NC 27051-9103
Phone (336) 595-8601
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 870940 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veterans Affairs | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1073863197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1437110186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5260 CAMP BETTY HASTINGS RD",
"city": "WALKERTOWN",
"state": "NC",
"postal_code": "270519103",
"telephone_number": "336-595-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 KIMEL PARK DR",
"city": "WINSTON-SALEM",
"state": "NC",
"postal_code": "271036946",
"telephone_number": "336-768-3296",
"fax_number": "336-760-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARDUE",
"first_name": "JOSEPH",
"middle_name": "CHRISTIAN",
"name_prefix": "Mr.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "870940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Joseph Walter Papuga, D.C.
- Paragon Outpatient Rehabilitation Services, LLC (Synchrony Rehab)
- Patrick James Parcell, CRNA
- Latanya Nicole Parchment, CNM
- Timothy Pardee, M.D., PH.D.
- Kimberly Pardue, LPC
- Luisa Maria Paredes Acosta, MD
- Christopher William Parez, MS, CCC-SLP
- James William Parham, DDS
- Amanda Cooksey Parish, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.