Active NPI
Kennon Lydick, RD, LD
- Registered Dietitian
- Austin, TX
National Provider Identifier
1033910633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 4408 Spicewood Springs Rd Ste 111
Austin, TX 78759-8504 - Phone
- (512) 655-3878
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
4408 Spicewood Springs Rd Ste 111
Austin, TX 78759-8504
Mailing address
1305 Leona St Unit 1
Austin, TX 78702-2119
Phone (512) 627-2297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1033910633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 LEONA ST UNIT 1",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787022119",
"telephone_number": "512-627-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4408 SPICEWOOD SPRINGS RD STE 111",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598504",
"telephone_number": "512-655-3878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDICK",
"first_name": "KENNON",
"credential": "RD, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.