Stephanie Kim Rezac, RD, CDE
NPI 1659785640ActiveIndividual· Dietitian, Registered· Sandy, UT
Dietitian, Registered (RD, CDE) in Sandy, Utah, licensed in UT and NV, with an NPI issued in June 2014.
Overview
| NPI | 1659785640 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, CDE |
| Sole proprietor | No |
| NPI issued | Jun 17, 2014 |
| Last updated in NPPES | Feb 3, 2021 |
| Certified by provider | Feb 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 1114008-4901 | UT |
| Dietitian, Registered | 133V00000X | 35596DI-0 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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