LISA A KENNEDY, RD LLC
NPI 1861973091
Dietitian, Registered in Nacogdoches, TX

Active since August 26, 2018
4635 NE STALLINGS DR STE 104, NACOGDOCHES, TX 75965(936) 628-9123 Get Directions Write a Review

NPPES record last updated: August 26, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa A Kennedy, Rd Llc NPPES

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

LISA A KENNEDY, RD LLC (NPI 1861973091) is a healthcare organization registered as a dietitian, registered in Nacogdoches, Texas and active in the NPI registry since August 2018. The organization lists Lisa A Kennedy, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1861973091
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameLISA A KENNEDY, RD LLC
Location Address4635 NE STALLINGS DR STE 104Nacogdoches, TX 75965-1667
Mailing AddressPo Box 538Etoile, TX 75944-0538 · (936) 628-9123
Organization SubpartNo
Authorized OfficialLisa A KennedySole Member · (936) 628-9123
Enumeration DateAugust 26, 2018
NPI 1861973091 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

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

Counselor (Professional)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Physical Therapist
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Dietitian, Registered
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Counselor (Mental Health)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965
Clinic/Center (Physical Therapy)
4635 NE STALLINGS DR STE 104
NACOGDOCHES, TX 75965

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 A Kennedy, Rd LLC's NPI number?

The NPI number for Lisa A Kennedy, Rd LLC is 1861973091. It was assigned to this organization in the NPPES registry on August 26, 2018.

Where is Lisa A Kennedy, Rd LLC located?

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

What is Lisa A Kennedy, Rd LLC'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 A Kennedy, Rd LLC was last updated on August 26, 2018. 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.