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NPISignal

Individual Healthcare Provider

Kacey Podolak, MS, RD, LD

NPI Record: ActiveDietitian, Registered — Nutrition, Pediatric
NPI1063272870
Toledo, Ohio

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 identified

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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dietitian, Registered

    Nutrition, Pediatric

    Dietary & Nutritional Service Providers

    Primary

    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
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

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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