What is Kathleen Pezan's NPI number?

Kathleen Pezan's National Provider Identifier (NPI) is 1558235077, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kathleen Pezan's specialty?

Kathleen Pezan is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).

Where is Kathleen Pezan located?

Kathleen Pezan's practice location on file with NPPES is 3724 Jefferson St Ste 104, Austin, TX 78731-6204.

What is Kathleen Pezan's phone number?

The practice phone number listed in the NPPES registry for Kathleen Pezan is (952) 288-3959.

Is Kathleen Pezan's NPI active?

Yes — Kathleen Pezan's NPI (1558235077) is active in the NPPES registry as of the last update on 2025-09-30.

IndividualActive

Kathleen Pezan

NPI 1558235077 · Registered Dietitian · Austin, TX

Kathleen Pezan is a Registered Dietitian provider in Austin, TX (NPI 1558235077).

Provider details

NPI number: 1558235077
Entity type: Individual
Primary specialty: Registered DietitianDietary & Nutritional Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Registered DietitianPrimary133V00000X
Dietary & Nutritional Service Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3724 Jefferson St Ste 104

Austin, TX 78731-6204

Phone: (952) 288-3959

Street-level locationGet directions

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Mailing address