Organization Active NPI

Reilly Beatty Sports Nutrition LLC

  • Sports Dietetics Nutrition Registered Dietitian
  • Winston Salem, NC
National Provider Identifier
1598624397
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X
Legal business name
REILLY BEATTY SPORTS NUTRITION LLC
Practice address
728 Surrey Path TRL
Winston Salem, NC 27104-5035
Phone
(424) 346-3037
NPI assigned
Jan 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Reilly Beatty, RD, MS, CSSDNPI 1225592918
Title
Registered Dietitian
Phone
(424) 346-3037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Dietetics Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1501X Primary

Addresses

Primary practice location

728 Surrey Path TRL
Winston Salem, NC 27104-5035

Mailing address

728 Surrey Path TRL
Winston Salem, NC 27104-5035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1598624397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 SURREY PATH TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 SURREY PATH TRL",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045035",
            "telephone_number": "424-346-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REILLY BEATTY SPORTS NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "REILLY",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "424-346-3037",
        "authorized_official_credential": "RD, MS, CSSD"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": null,
            "license": null,
            "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 Jan 17, 2026; 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.