Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanine Rivituso Kennedy, RD, LDN

Individual provider Registered Dietitian · NPI 1245681097

Jeanine Rivituso Kennedy, RD, LDN is a Registered Dietitian OR Nutrition Professional in Winston Salem, North Carolina. Qualified in 2012, 14 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
14
Licensed in
NC
In the registry since
2016
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone: (336) 716-6099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L004828 (NC)

Record details

NPI number1245681097
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LDN
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJanuary 31, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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