Individual provider Active NPI

Kacey Podolak, MS, RD, LD

  • Pediatric Nutrition Registered Dietitian
  • Toledo, OH
National Provider Identifier
1063272870
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
License
LD.7824 Issued in OH
Practice address
2222 Cherry St Ste 1000
Toledo, OH 43608-2673
Phone
(419) 251-8042
Fax
(419) 251-7714
NPI assigned
Mar 20, 2024
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.7824 OH
Pediatric Nutrition Registered Dietitian 133VN1004X LD.7824 OH Primary

Addresses

Primary practice location

2222 Cherry St Ste 1000
Toledo, OH 43608-2673

Mailing address

2222 Cherry St Ste 1900
Toledo, OH 43608-2673
Phone (419) 251-3878

Other practice location 1

2213 Cherry St
Toledo, OH 43608-2603
Phone (419) 251-4880

Other practice location 2

730 W Market St
Lima, OH 45801-4602
Phone (419) 251-4880

Other practice location 3

1400 E 2nd St Ste 100
Defiance, OH 43512-9905
Phone (419) 251-4880

Other practice location 4

500 W Market St
Tiffin, OH 44883-2610
Phone (419) 251-4880

Other practice location 5

605 3rd Ave
Fremont, OH 43420-3269
Phone (419) 251-4880

Other practice location 6

715 S Taft Ave Ste 3B
Fremont, OH 43420-3237
Phone (419) 251-4880

Other practice location 7

3020 N McCord Rd
Toledo, OH 43615-1702
Phone (419) 251-4880

Other practice location 8

4126 N Holland Sylvania Rd
Toledo, OH 43623-3536
Phone (419) 251-4880

Other identifiers 1

IdentifierTypeStateIssuer
0046151MedicaidOH

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LD.7824OHMDPediatric Nutrition Registered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC PastSince Mar 1, 2022 Accepting new patients
Nationwide Children's Hospital Toledo, LLC PastSince Mar 24, 2024 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1063272870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 1900",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 1000",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-8042",
            "fax_number": "419-251-7714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2213 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436082603",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E 2nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Defiance",
            "state": "OH",
            "postal_code": "435129905",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 W Market St",
            "address_purpose": "LOCATION",
            "city": "Tiffin",
            "state": "OH",
            "postal_code": "448832610",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "605 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434203269",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 S Taft Ave Ste 3B",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "OH",
            "postal_code": "434203237",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 N McCord Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436151702",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4126 N Holland Sylvania Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436233536",
            "country_code": "US",
            "telephone_number": "419-251-4880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PODOLAK",
        "first_name": "KACEY",
        "credential": "MS, RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.7824",
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "OH",
            "license": "LD.7824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046151",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.