Nicole Brynna Speeney, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L007886 Issued in NC

Practice address

110 Oakwood Dr Ste 450
Winston Salem, NC 27103-1913

Phone

(336) 607-5822

NPI assigned

May 21, 2024

Last updated

May 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicole Speeney Nutrition LLC

  dba Expedition Nutrition

  • Registered Dietitian
  • Rural Hall, NC
  • NPI 1124901871

  Dietitian, Registered

  NPD Authorized official
• Maddox Nutrition LLC

  • Registered Dietitian
  • Boulder, CO
  • NPI 1053179721

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1891534749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OAKWOOD DR STE 450",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 OAKWOOD DR STE 450",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031913",
            "telephone_number": "336-607-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEENEY",
        "first_name": "NICOLE",
        "middle_name": "BRYNNA",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L007886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Spears, LMFT
• Margaret Seawell Speas, PHYSICIAN ASSISTANT
• Barbara Bradford Specter, MD
• Spectrum Medical Group PA (Salem Chest Specialists)
• Speechcenter LLC, D/B/a Sidekick Therapy Partners
• Mitchell G Speer, PHARMD
• Ricky A Speller Jr.
• Samantha Michelle Spence
• Frank Conner Spencer Jr, RPH
• Brooke Nicole Spencer, PA-C

• Registered Dietitian in Winston Salem, NC
• Providers in Winston Salem, 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 May 21, 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.