ZACK KIDD RD
NPI 1477987576
Dietitian, Registered in Shreveport, LA

Active since August 26, 2013
510 E STONER AVE, SHREVEPORT, LA 71101(318) 990-4084 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Zack Kidd Rd NPPES

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

ZACK KIDD RD (NPI 1477987576) is an individual dietitian, registered in Shreveport, Louisiana, licensed in Louisiana (886) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1477987576
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameZACK KIDDCredential: RD
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address886 Oak Grove Church RdGibsland, LA 71028-4594 · (940) 255-9249
Sole ProprietorYes
Enumeration DateAugust 26, 2013
NPI 1477987576 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 LA · 886
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.

510 E STONER AVE, Shreveport, LA 71101

Other Identifiers 2

Other727068LA · American Dietetic Association
Other886LA · Louisiana Dietetic Association

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Dietitian, Registered
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapist
510 E STONER AVE
SHREVEPORT, LA 71101
Kinesiotherapist
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE, PM&RS (117)
SHREVEPORT, LA 71101
Physical Therapy Assistant
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE, PM&RS (117)
SHREVEPORT, LA 71101
Kinesiotherapist
510 E STONER AVE
SHREVEPORT, LA 71101
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Physical Therapist
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine (Pulmonary Disease)
510 E STONER AVE, OVERTON BROOKS VA MEDICAL CENTER
SHREVEPORT, LA 71101
Internal Medicine (Endocrinology, Diabetes & Metabolism)
510 E STONER AVE, 111 (MEDICAL SERVICE/ ENDOCRINOLOGY)
SHREVEPORT, LA 71101
Dentist
510 E STONER AVE
SHREVEPORT, LA 71101
Internal Medicine (Hematology & Oncology)
510 E STONER AVE
SHREVEPORT, LA 71101
Occupational Therapist
510 E STONER AVE
SHREVEPORT, LA 71101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477987576, enumerated as an "individual" on August 26, 2013.

The provider is located at 510 E STONER AVE SHREVEPORT, LA 71101 and the phone number is (318) 990-4084.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.