Individual provider Active NPI

Maureen Elizabeth Gately, RD, LDN

  • Registered Dietitian
  • Charlotte, NC
National Provider Identifier
1871834523
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
6302 Fairview Rd Ste 100
Charlotte, NC 28210-2227
Phone
(202) 997-6372
NPI assigned
Mar 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 Primary

Addresses

Primary practice location

6302 Fairview Rd Ste 100
Charlotte, NC 28210-2227

Mailing address

1101 30TH St NW Ste 250
Washington, DC 20007-3796
Phone (202) 997-6372

Other practice location 1

1101 30th St NW Ste 250
Washington, DC 20007-3796
Phone (202) 997-6372 ext. 25

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 16, 2024 through May 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Winstead Nutrition and Wellness LLC Dietitian, Registered Current Accepting new patients
Potomac Behavioral Solutions Dietitian, Registered Past Accepting new patients

Organizations & group practices 2

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": "1362441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1871834523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 30TH ST NW STE 250",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073796",
            "telephone_number": "202-997-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 FAIRVIEW RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282102227",
            "telephone_number": "202-997-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 30th St NW Ste 250",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200073796",
            "country_code": "US",
            "telephone_number": "202-997-6372 x25",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GATELY",
        "first_name": "MAUREEN",
        "middle_name": "ELIZABETH",
        "credential": "RD, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-05",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.