Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KENNEDY NICOLE SULLIVAN RDN
NPI 1609791524
Dietitian, Registered in Morehead City, NC

Active since August 11, 2026
4913 BRIDGES ST EXT # B, MOREHEAD CITY, NC 28557(252) 808-5623 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kennedy Nicole Sullivan Rdn NPPES

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

KENNEDY NICOLE SULLIVAN RDN (NPI 1609791524) is an individual dietitian, registered in Morehead City, North Carolina, licensed in North Carolina (010150) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1609791524
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameKENNEDY NICOLE SULLIVANCredential: RDN
Location Address4913 BRIDGES ST EXT # BMorehead City, NC 28557-8978
Mailing Address4913 Bridges St Ext # BMorehead City, NC 28557-8978 · (252) 808-5623
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1609791524 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 · 010150
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.
4913 BRIDGES ST EXT # B, Morehead City, NC 28557

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
4913 BRIDGES ST EXT # B
MOREHEAD CITY, NC 28557
Dietitian, Registered
4913 BRIDGES ST EXT # B
MOREHEAD CITY, NC 28557

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennedy Sullivan's NPI number?

The NPI number for Kennedy Sullivan is 1609791524. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Kennedy Sullivan located?

Kennedy Sullivan practices at 4913 Bridges St Ext # B, Morehead City, NC 28557. The listed phone number is (252) 808-5623.

What is Kennedy Sullivan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kennedy Sullivan was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.