Individual provider Active NPI

Kacey Maralyn Legnitto, MS, RD, CEDRD

  • Registered Dietitian
  • Petaluma, CA
National Provider Identifier
1689104606
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86031562 Issued in CA
Practice address
1390 N McDowell Blvd Ste G256
Petaluma, CA 94954-1188
Phone
(805) 416-6533
NPI assigned
Jun 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86031562 CA Primary

Addresses

Primary practice location

1390 N McDowell Blvd Ste G256
Petaluma, CA 94954-1188

Mailing address

1390 N McDowell Blvd Ste G256
Petaluma, CA 94954-1188
Phone (805) 416-6533

Other names 1

  • Kacey Legnitto Professional name

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
86031562CAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1689104606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 N MCDOWELL BLVD STE G256",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541188",
            "telephone_number": "805-416-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 N MCDOWELL BLVD STE G256",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541188",
            "telephone_number": "805-416-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGNITTO",
        "first_name": "KACEY",
        "middle_name": "MARALYN",
        "credential": "MS, RD, CEDRD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86031562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KACEY",
            "last_name": "LEGNITTO",
            "credential": "MS, RD, CEDRD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.