JEANINE RIVITUSO KENNEDY (NPI# 1245681097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245681097 |
| Entity Type | Individual |
| Full Name | JEANINE RIVITUSO KENNEDY |
| Other Name | JEANINE RIVITUSO |
| Credential | R.D., L.D.N. |
| Practice Address |
4614 Country Club Rd Winston Salem NC 27104-3520 |
| Practice Telephone | 3367166099 |
| Mailing Telephone | 3367166099 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2019-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L004828 | NC | Dietary & Nutritional Service Providers |
| Street Address |
4614 COUNTRY CLUB RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306823547 | William Y Rice IIi | Internal Medicine | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2005-12-29 |
| 1275162299 | Alexandria Jade Sutton | Student in an Organized Health Care Education/Training Program | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-04-02 |
| 1619504958 | Matthew Nigel Hugh Ellis | Student in an Organized Health Care Education/Training Program | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-03-26 |
| 1609416932 | Emily Stefano | Psychologist | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2020-01-15 |
| 1578113486 | Kayla Hansen | Dietitian, Registered | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2019-09-13 |
| 1356867162 | Michelle Faulkner | Dietitian, Registered | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2017-08-15 |
| 1932532553 | Shenelle Alyse Edwards | Clinical Neuropsychologist | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-08-19 |
| 1467885244 | Megan H. Ragone | Social Worker | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-08-15 |
| 1669712840 | Terrika Dene Stewart Simmons | Nurse Practitioner | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2013-02-25 |
| 1144480716 | Stephanie Jane Myers | Internal Medicine | 4614 Country Club Rd, Winston Salem, NC 27104-3520 | 2008-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192462 | Aries Ford | Dietitian, Registered | 442 Mica Ct, Winston Salem, NC 27103-6461 | 2020-04-11 |
| 1598394710 | Katherine Nicole Best | Dietitian, Registered | 1834 Wake Forest Road, Sutton Sports Performance Center, Room 218, Winston Salem, NC 27109 | 2020-04-08 |
| 1831756188 | Colton R Schille | Dietitian, Registered | 337a Burkewood Dr, Winston Salem, NC 27104-3940 | 2019-05-22 |
| 1104300201 | Jane Anderson | Dietitian, Registered | 835 Lockland Ave, Winston Salem, NC 27103-3707 | 2018-09-24 |
| 1598243081 | Allison Louise Willis | Dietitian, Registered | 2524 Huntington Woods Dr, Winston Salem, NC 27103-6633 | 2018-08-06 |
| 1932653649 | William M Ward | Dietitian, Registered | 222 S Church St, Winston Salem, NC 27101-5313 | 2016-08-10 |
| 1780056911 | Tammy Jean Brewer-sorendo | Dietitian, Registered | 1961 Burgoyne Ct, Winston Salem, NC 27107-3566 | 2015-10-27 |
| 1598132078 | Katherine Dils Ruley | Dietitian, Registered | 2750 Spring Garden Rd, Winston Salem, NC 27106-5714 | 2015-08-31 |
| 1235534686 | Kelli Ioan | Dietitian, Registered | 4913 Lighthouse Ct, Winston Salem, NC 27127-6814 | 2014-10-28 |
| 1982949012 | Debra Lee Benfield | Dietitian, Registered | 623 Fenimore St, Winston Salem, NC 27103-3713 | 2012-11-29 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.