Nicole Speeney Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

NICOLE SPEENEY NUTRITION LLC

Practice address

1754 Castle Peak Dr
Rural Hall, NC 27045-9164

Phone

(215) 375-8900

NPI assigned

Jul 29, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nicole Brynna Speeney, MS RDN LDNNPI 1891534749

Title

Registered Dietitian

Phone

(215) 375-8900

Specialties & licenses 1

Addresses

Other names 1

• Expedition Nutrition Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Brynna Speeney, MS, RDN, LDN

  • Registered Dietitian
  • Winston Salem, NC
  • NPI 1891534749

  Dietitian, Registered

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1124901871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 CASTLE PEAK DR",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 CASTLE PEAK DR",
            "city": "RURAL HALL",
            "state": "NC",
            "postal_code": "270459164",
            "telephone_number": "215-375-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SPEENEY NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "SPEENEY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "BRYNNA",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "215-375-8900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS RDN LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Expedition Nutrition",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Expedition Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brendan Jay Michel, M.D.
• Emily Mills, FNP-C
• Tiara J Morris, CDC, CBE,
• Cheryl A Morrison, PA
• New Beginnings: a New Start LLC
• Paul Walter Nienaber, OD
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Novant Health Medical Group, LLC
• Virginia L Orosz, PA-C

• All providers in Rural Hall, NC
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.