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

Jeanine Rivituso Kennedy, RD, LDN

Individual provider Registered Dietitian · NPI 1245681097

Jeanine Rivituso Kennedy, RD, LDN is registered under 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.

See every abbreviation used in this directory →

Practice location Address checks out

4614 Country Club Rd
Winston Salem, NC 27104-3520
Phone: (336) 716-6099
Show map & directions

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

Colleagues at Wake Forest University Health Sciences

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2621 clinicians in the practice; 12 are shown here.

Other providers in Winston Salem