Active NPI
Reilly Beatty Sports Nutrition LLC
- Sports Dietetics Nutrition Registered Dietitian
- Winston Salem, NC
National Provider Identifier
1598624397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Dietetics Nutrition Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Reilly Beatty, RD, MS, CSSD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Dietetics Nutrition Registered Dietitian | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Winston Salem, NC
- NPI 1225592918
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.