1. Home
  2. Directory
  3. Texas
  4. Nacogdoches
  5. Dietitian Registered
  6. NPI Profile

LISA KENNEDY RD, LD
NPI 1710296009
Dietitian, Registered in Nacogdoches, TX

Active since October 04, 2010
4635 NE STALLINGS DR STE 104, NACOGDOCHES, TX 75965(936) 628-9123 Get Directions Write a Review

NPPES record last updated: August 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Kennedy Rd, Ld NPPES

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

LISA KENNEDY RD, LD (NPI 1710296009) is an individual dietitian, registered in Nacogdoches, Texas, licensed in Texas (DT07616) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1710296009
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLISA KENNEDYCredential: RD, LD
Location Address4635 NE STALLINGS DR STE 104Nacogdoches, TX 75965
Mailing AddressPo Box 538Etoile, TX 75944-0538 · (936) 628-9123
Phone(936) 628-9123
Sole ProprietorYes
Enumeration DateOctober 4, 2010
Last NPPES UpdateAugust 12, 2018
✔ NPI 1710296009 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 TX · DT07616
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.
4635 NE STALLINGS DR STE 104, Nacogdoches, TX 75965
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

ENDEAVOR COUNSELING CENTER PLLC
Counselor (Professional)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Nacogdoches County (936) 209-4090
DR. AUSTIN MATTHEW CREEL PT, DPT, CERT. DN
Physical Therapist
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Nacogdoches County (936) 305-3354
LISA A KENNEDY, RD LLC
Dietitian, Registered
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Nacogdoches County (936) 628-9123
MARISSA MATZENAUER
Counselor (Mental Health)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Nacogdoches County (936) 228-6670
CREEL PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Nacogdoches County (936) 556-0132

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 Lisa Kennedy's NPI number?

The NPI number for Lisa Kennedy is 1710296009. It was assigned to this individual provider in the NPPES registry on October 4, 2010.

Where is Lisa Kennedy located?

Lisa Kennedy practices at 4635 NE Stallings Dr Ste 104, Nacogdoches, TX 75965. The listed phone number is (936) 628-9123.

What is Lisa Kennedy'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 Lisa Kennedy was last updated on August 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.