MRS. KRISTAN LEE PONTILLO R.D. NPI 1548399074

NPI Information

  • NPI: 1548399074
  • Provider Name: MRS. KRISTAN LEE PONTILLO, R.D.
  • Classification: Dietitian, Registered - 133VN1005X
  • Specialization: Nutrition, Renal
  • Entity Type: Individual
  • Address: 151 N SUNRISE AVE
    STE 1205
    ROSEVILLE, CA
    ZIP 95661
  • Phone: (916) 624-3871

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NPI Details

MRS. Kristan Lee Pontillo, R.D. is a nutrition and renal dietitian registered in Roseville, CA. The provider is an individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation. MRS. Kristan Lee Pontillo, R.D. NPI is 1548399074. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

151 N SUNRISE AVE
STE 1205
ROSEVILLE, CA
ZIP 95661-932
Phone: (916) 624-3871

The enumeration date for this NPI number is 3/2/2007 and was last updated on 8/13/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1005XDietitian, RegisteredNutrition, Renal715415CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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