Organization Active NPI

Julie Kennedy Nutrition

  • Registered Dietitian
  • Holly Springs, NC
National Provider Identifier
1730745829
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
JULIE KENNEDY NUTRITION
Practice address
113 Middlegreen PL
Holly Springs, NC 27540-5524
Phone
(984) 221-8101
Fax
(866) 499-1886
NPI assigned
May 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Julie Kennedy, MPH, MED, RDN, LDNNPI 1326507955
Title
Owner, Registered Dietitian
Phone
(984) 221-8101

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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

113 Middlegreen PL
Holly Springs, NC 27540-5524

Mailing address

113 Middlegreen PL
Holly Springs, NC 27540-5524

Other identifiers 1

IdentifierTypeStateIssuer
1326507955OtherNCREGISTERED DIETITIAN

National Provider Directory

National Provider Directory

Locations

3820 Merton Dr
Ste 105C
Raleigh, NC 27609

Practitioners & affiliated clinicians

Practitioners 2

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": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1730745829",
    "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",
            "fax_number": "866-499-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE KENNEDY NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER, REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "984-221-8101",
        "authorized_official_credential": "MPH, MED, RDN, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DIETITIAN",
            "identifier": "1326507955",
            "state": "NC"
        }
    ],
    "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 May 14, 2019; 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.