Taylor Doktycz

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L008072 Issued in NC

Practice address

4691 Deveron Dr
Kernersville, NC 27284-6857

Phone

(860) 281-2252

Fax

(336) 203-2211

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mockingbird Nutrition Counseling L.L.C.

  • Registered Dietitian
  • Kernersville, NC
  • NPI 1720812167

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1497417257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 DEVERON DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846857",
            "telephone_number": "860-281-2252",
            "fax_number": "336-203-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4691 DEVERON DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272846857",
            "telephone_number": "860-281-2252",
            "fax_number": "336-203-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOKTYCZ",
        "first_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CT",
            "license": "59.001659",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L008072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Digestive Health Specialists, PA
• Brianna Diggs
• Claire Sanger Dillingham, D.O.
• Jeryl Eric Dillow, L.A.T., A.T.C.
• Distinguished Senior Services
• Karen Rich Dolby, NP
• Elvira Dominguez
• Stacey Donavant
• Karen Donawerth
• Colin Dossel

• Registered Dietitian in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.