IndividualActive
Lisa Kennedy, RD, LD
NPI 1710296009 · Registered Dietitian · Nacogdoches, TX
Lisa Kennedy, RD, LD is a Registered Dietitian provider in Nacogdoches, TX (NPI 1710296009).
Provider details
- NPI number
- 1710296009
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DT07616 (TX)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4635 Ne Stallings Dr Ste 104
Nacogdoches, TX 75965
Phone: (936) 628-9123
Street-level locationGet directions
Mailing address
Po Box 538
Etoile, TX 75944-0538
Registry dates
- Enumerated
- 2010-10-04
- Last updated
- 2018-08-12
Frequently asked questions
- What is Lisa Kennedy's NPI number?
- Lisa Kennedy's National Provider Identifier (NPI) is 1710296009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Kennedy's specialty?
- Lisa Kennedy is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Lisa Kennedy located?
- Lisa Kennedy's practice location on file with NPPES is 4635 Ne Stallings Dr Ste 104, Nacogdoches, TX 75965.
- What is Lisa Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Lisa Kennedy is (936) 628-9123.
- Is Lisa Kennedy's NPI active?
- Yes — Lisa Kennedy's NPI (1710296009) is active in the NPPES registry as of the last update on 2018-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.