Active NPI
Sophie Elizabeth Reese, RD, LDN
- Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1245912872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L007423
- Practice address
- 730 Highland Oaks Dr
Winston Salem, NC 27103-7154 - Phone
- (336) 646-7323
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L007423 | NC | Primary |
Addresses
Primary practice location
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Mailing address
6552 Gentry Cir Apt 104
Clemmons, NC 27012-9853
Phone (828) 773-6872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
730 Highland Oaks Dr
Winston Salem, NC 27103-7154
Phone (336) 646-7323
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NH-CL Clinics, LLC | Single Specialty | Current | Accepting new patients |
Locations
500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115
730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323
Organizations & group practices 1
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": "1691020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1245912872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6552 GENTRY CIR APT 104",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129853",
"telephone_number": "828-773-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 HIGHLAND OAKS DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271037154",
"telephone_number": "336-646-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "SOPHIE",
"middle_name": "ELIZABETH",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-03",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L007423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.