Active NPI
Jordanne Wade, MS, RDN/LD
- Registered Dietitian
- Muenster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DT84011
- Practice address
- 915 Fleitman Dr
Muenster, TX 76252-1524 - Phone
- (940) 768-8820
- NPI assigned
- Dec 15, 2015
- Last updated
- Sep 23, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84011 | TX | Primary |
| Registered Dietitian | 133V00000X | 3414 | SC | |
| Registered Dietitian | 133V00000X | LD007879 | GA |
Addresses
Primary practice location
915 Fleitman Dr
Muenster, TX 76252-1524
Mailing address
915 Fleitman Dr
Muenster, TX 76252-1524
Phone (940) 768-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106000368 | SC | Practitioner - Registered Dietitian Or Nutrition Professional | 8729407598 |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2000 Health Park Dr
Brentwood, TN 37027-4692
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3414 | SC | MD | Chiropractor |
| LD007879 | GA | MD | Registered Dietitian |
| DT84011 | TX | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Current | Accepting new patients | |
| Grand Strand Surgical Specialists, LLC | Current | Accepting new patients | |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Locations
4237 River Hills Dr
Ste 150
Little River, SC 29566
Phone (843) 281-2778
920 Doug White Dr
Ste 150
Myrtle Beach, SC 29572
Phone (843) 353-5360
422 E Lamar Blvd
Ste 108
Arlington, TX 76011
Phone (817) 751-7802
Organizations & group practices 4
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.
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
-
- Surgery Physician
- Myrtle Beach, SC
- NPI 1841465804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1609231802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 FLEITMAN DR",
"city": "MUENSTER",
"state": "TX",
"postal_code": "762521524",
"telephone_number": "940-768-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 FLEITMAN DR",
"city": "MUENSTER",
"state": "TX",
"postal_code": "762521524",
"telephone_number": "940-768-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "JORDANNE",
"credential": "MS, RDN/LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT84011",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "SC",
"license": "3414",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD007879",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muenster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.