Active NPI
Matthew Ryan Wilhelm, RD, LDN
- Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1508533886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86168407
- Practice address
- 730 Highland Oaks Dr
Winston Salem, NC 27103-7154 - Phone
- (336) 646-7323
- Fax
- (336) 646-7787
- NPI assigned
- Aug 25, 2021
- 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 | 86168407 | Primary |
Addresses
Primary practice location
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Other practice location 1
381 Timberlane Dr
Boone, NC 28607-6901
Phone (704) 657-5329
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1508533886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 604050",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282604050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037154",
"telephone_number": "336-646-7323",
"fax_number": "336-646-7787"
}
],
"practiceLocations": [
{
"address_1": "381 Timberlane Dr",
"address_purpose": "LOCATION",
"city": "Boone",
"state": "NC",
"postal_code": "286076901",
"country_code": "US",
"telephone_number": "704-657-5329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILHELM",
"first_name": "MATTHEW",
"middle_name": "RYAN",
"credential": "RD, LDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-25",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86168407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.