JEANNE A DOHERTY MS, RDN, LDN
NPI 1689288847
Dietitian, Registered in Winston Salem, NC

Q: What is Jeanne Doherty's NPI number?

The NPI number for Jeanne Doherty is 1689288847. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Q: What is Jeanne Doherty'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 Jeanne Doherty was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 September 04, 2020

730 HIGHLAND OAKS DR, WINSTON SALEM, NC 27103(336) 646-7323(336) 646-7787 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2021, Jun 14, 2021, Sep 30, 2020 and 1 more (4 updates tracked since 2020).

On this page

About Jeanne A Doherty Ms, Rdn, Ldn NPPES

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

JEANNE A DOHERTY MS, RDN, LDN (NPI 1689288847) is an individual dietitian, registered in Winston Salem, North Carolina, licensed in North Carolina (L006167) and active in the NPI registry since September 2020. She maintains a secondary practice location in Kernersville.

NPPES Registry Identity

NPI1689288847

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameJEANNE A DOHERTYCredential: MS, RDN, LDN

Location Address730 HIGHLAND OAKS DRWinston Salem, NC 27103-7154

Mailing AddressPo Box 604050Charlotte, NC 28260-4050

Phone(336) 646-7323

Fax(336) 646-7787

Sole ProprietorYes

Enumeration DateSeptember 4, 2020

Last NPPES UpdateAugust 13, 20214 updates tracked since enumeration

NPPES CertifiedAugust 13, 2021

✔ NPI 1689288847 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 · L006167

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.

730 HIGHLAND OAKS DR, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 1500 Pineview Dr Ste 205Kernersville, NC 27284-3814 · Phone (336) 329-3295 · Fax (336) 355-5204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanne A Doherty Ms, Rdn, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

Medicare enrollment records show Jeanne Doherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Myndfl Medical PLLC

581 mi

Internal Medicine

333 SKOKIE BLVD STE 101
Northbrook, IL 60062

Reassigned Medicare billing, Illinois enrollment
3 clinicians in this Medicare group

NPI 1356232235 (847) 450-6393

Myndfl

582 mi

Mental Health

95 REVERE DR STE D
Northbrook, IL 60062

Reassigned Medicare billing, Illinois enrollment
4 clinicians in this Medicare group

NPI 1932948619 (708) 247-5646

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

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.

ANDRE FLOYD CHAMBERS

Social Worker (Clinical)

730 HIGHLAND OAKS DR
WINSTON SALEM, NC 27103

Forsyth County (336) 646-7323

MONICA MARIE NEDEFF RDN, LD

Dietitian, Registered

730 HIGHLAND OAKS DR
WINSTON SALEM, NC 27103

Forsyth County (336) 646-7323

DR. DENISE H. LAURIENTI M.D.

Internal Medicine (Nephrology)

730 HIGHLAND OAKS DR, SUITE 201
WINSTON-SALEM, NC 27103

Forsyth County (336) 768-2425

CHIRAPA SINTHUSEK, PA

Clinic/Center (Multi-Specialty)

730 HIGHLAND OAKS DR, SUITE 101
WINSTON-SALEM, NC 27103

Forsyth County (336) 765-6897

MRS. CARLA MANN KOSKINAS PA-C

Physician Assistant (Medical)

730 HIGHLAND OAKS DR, SUITE 101
WINSTON SALEM, NC 27103

Forsyth County (336) 765-6897

CAITLIN SUZANNE GESELL FNP

Nurse Practitioner

730 HIGHLAND OAKS DR
WINSTON SALEM, NC 27103

Forsyth County (336) 646-7323

DR. OTIS DELANO CURLING JR. MD, MBA

Neurological Surgery

730 HIGHLAND OAKS DR, SUITE 105
WINSTON SALEM, NC 27103

Forsyth County (336) 409-4847

KELLI AMANDA DUNAGAN RDN, LD

Dietitian, Registered

730 HIGHLAND OAKS DR
WINSTON SALEM, NC 27103

Forsyth County (336) 646-7323

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 Jeanne Doherty's NPI number?

The NPI number for Jeanne Doherty is 1689288847. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Jeanne Doherty located?

Jeanne Doherty practices at 730 Highland Oaks Dr, Winston Salem, NC 27103. The listed phone number is (336) 646-7323.

What is Jeanne Doherty's specialty?

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

Is Jeanne Doherty enrolled in Medicare?

Yes. Jeanne Doherty is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeanne Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanne Doherty reassigns Medicare benefits to 2 organizations: Myndfl Medical PLLC (Northbrook, IL) and Myndfl (Northbrook, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeanne Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeanne Doherty was last updated on August 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.