Individual provider Active NPI

Jessica Cary Staton

  • Registered Dietitian
  • Rocky Mount, NC
National Provider Identifier
1851092191
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
L007464 Issued in NC
Practice address
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone
(252) 937-0290
NPI assigned
Mar 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 L007464 NC Primary

Addresses

Primary practice location

901 N Winstead Ave
Rocky Mount, NC 27804-8467

Mailing address

901 N Winstead Ave
Rocky Mount, NC 27804-8467
Phone (252) 937-0290

Other names 1

  • Jessica Pauline Cary Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816000689 NC Practitioner - Registered Dietitian Or Nutrition Professional 1759829153 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boice-Willis Clinic PAGroup PAC ID 0143122382, 58 clinicians

Practice addresses (Care Compare)

901 N Winstead Ave
Rocky Mount, NC 27804-8712
Phone (252) 937-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians Inc CurrentSince May 31, 2024 Accepting new patients
Boice-Willis Clinic, PA CurrentSince Oct 7, 2024 Accepting new patients
Boice-Willis Clinic PA CurrentSince Oct 7, 2024 Accepting new patients

Locations

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300

3221 Zebulon Rd
Rocky Mount, NC 27804

901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

901 N Winstead Ave
Ste 510
Rocky Mount, NC 27804

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

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": "1678752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1851092191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048467",
            "telephone_number": "252-937-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N WINSTEAD AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278048467",
            "telephone_number": "252-937-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "JESSICA",
        "middle_name": "CARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-14",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CARY",
            "middle_name": "PAULINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.

Verify at the official NPI Registry.