JEANINE RIVITUSO KENNEDY R.D., L.D.N.
NPI 1245681097
Dietitian, Registered in Winston Salem, NC

Q: What is Jeanine Kennedy's NPI number?

The NPI number for Jeanine Kennedy is 1245681097. It was assigned to this individual provider in the NPPES registry on June 23, 2016. The provider is also known as Jeanine Rivituso.

Q: What is Jeanine Kennedy's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanine Kennedy was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 23, 2016Accepts Medicare Assignment

4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104(336) 716-6099 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2019, Jun 23, 2016 (2 updates tracked since 2016).

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About Jeanine Rivituso Kennedy R.d., L.d.n. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANINE RIVITUSO KENNEDY R.D., L.D.N. (NPI 1245681097) is an individual dietitian, registered in Winston Salem, North Carolina, licensed in North Carolina (L004828) and active in the NPI registry since June 2016. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1245681097

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJEANINE RIVITUSO KENNEDYCredential: R.D., L.D.N.

Location Address4614 COUNTRY CLUB RDWinston Salem, NC 27104-3520

Mailing Address4614 Country Club RdWinston Salem, NC 27104-3520 · (336) 716-6099

Phone(336) 716-6099

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 23, 2016

Last NPPES UpdateJanuary 31, 20192 updates tracked since enumeration

✔ NPI 1245681097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in NC · L004828

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4614 COUNTRY CLUB RD, Winston Salem, NC 27104

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Other Names 1

Former Name (1)Jeanine Rivituso

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeanine Rivituso Kennedy R.d., L.d.n. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749568947

PECOS Enrollment IDI20161021002049

Medicare Billing Reassignment

Medicare enrollment records show Jeanine Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Forest University Health Sciences

3.5 mi

Multi-Specialty

MEDICAL CENTER BLVD
Winston Salem, NC 27157

Reassigned Medicare billing, North Carolina enrollment
3,003 clinicians in this Medicare group

NPI 1003803032 (336) 716-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.12 – $165.09

Typical copayment $0.00 (range $13.53 – $41.27)

Most-billed visit code NA

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TEMPLE V DAY M.D.

Internal Medicine