Individual Healthcare Provider
Kacey Podolak, MS, RD, LD
Provider's NPPES record last updated: April 14, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063272870
- Primary Specialty
- Dietitian, Registered — Nutrition, Pediatric
- Practice Location
- Toledo, Ohio
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 10:58 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Dietitian, Registered
Nutrition, Pediatric
Dietary & Nutritional Service Providers
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
Taxonomy code 133VN1004X Dietitian, Registered
Dietary & Nutritional Service Providers
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.
Taxonomy code 133V00000X
Provider-Reported License Information
- Dietitian, Registered (Ohio)
- LD.7824
- Dietitian, Registered (Ohio)
- LD.7824
Practice Locations
Practice Location
2222 Cherry St Ste 1000
Toledo, Ohio 43608-2673
Phone: (419) 251-8042
Additional Practice Location
730 W Market St
Lima, Ohio 45801-4602
Phone: (419) 251-4880
Additional Practice Location
1400 E 2nd St Ste 100
Defiance, Ohio 43512-9905
Phone: (419) 251-4880
Additional Practice Location
500 W Market St
Tiffin, Ohio 44883-2610
Phone: (419) 251-4880
Additional Practice Location
605 3rd Ave
Fremont, Ohio 43420-3269
Phone: (419) 251-4880
Additional Practice Location
715 S Taft Ave Ste 3b
Fremont, Ohio 43420-3237
Phone: (419) 251-4880
Additional Practice Location
4126 N Holland Sylvania Rd
Toledo, Ohio 43623-3536
Phone: (419) 251-4880
Additional Practice Location
3020 N Mccord Rd
Toledo, Ohio 43615-1702
Phone: (419) 251-4880
Record Information
- Enumeration Date
- March 20, 2024
- Provider's NPPES Record Last Updated
- April 14, 2025
- Certification Date
- April 14, 2025
- NPISignal NPPES Dataset
- August 2026
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