Mockingbird Nutrition Counseling L.L.C.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MOCKINGBIRD NUTRITION COUNSELING L.L.C.

Practice address

4691 Deveron Dr
Kernersville, NC 27284-6857

Phone

(804) 551-3877

NPI assigned

Aug 28, 2024

Last updated

Aug 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Doktycz, MS, RD, LDNPI 1497417257

Title

Owner, Registered Dietitian

Phone

(804) 551-3877

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Taylor Doktycz

  • Registered Dietitian
  • Kernersville, NC
  • NPI 1497417257

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1720812167",
    "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": "804-551-3877"
        },
        {
            "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": "804-551-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCKINGBIRD NUTRITION COUNSELING L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "DOKTYCZ",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "804-551-3877",
        "authorized_official_credential": "MS, RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Hall Mitchell, OTR/L
• Willie Patrick Mitchell, PTA, COTA
• Lora Mize
• MM Home Care, LLC (Angels of Care)
• Kevin Miles Mobley, DC
• Courtney Monde
• Monolias Care and Consulting Services LLC
• Shawanna Nicole Moore-Geter, LCMHC
• Amber Moore, LCAS, SAP
• Jeremy Moore

• 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 Aug 28, 2024; 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.