Active NPI
Julie Kennedy, MPH, MED, RDN, LDN
- Registered Dietitian
- Holly Springs, NC
National Provider Identifier
1326507955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- L005684
- Practice address
- 113 Middlegreen PL
Holly Springs, NC 27540-5524 - Phone
- (984) 221-8101
- NPI assigned
- Mar 13, 2019
- Last updated
- Mar 13, 2019
- 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 | L005684 | NC | Primary |
Addresses
Primary practice location
113 Middlegreen PL
Holly Springs, NC 27540-5524
Mailing address
113 Middlegreen PL
Holly Springs, NC 27540-5524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 30, 2020 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L005684 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie Kennedy Nutrition | Dietitian, Registered | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1326507955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 MIDDLEGREEN PL",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 MIDDLEGREEN PL",
"city": "HOLLY SPRINGS",
"state": "NC",
"postal_code": "275405524",
"telephone_number": "984-221-8101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JULIE",
"credential": "MPH, MED, RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-13",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L005684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holly Springs, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.