Mrs. Kristan Lee Pontillo, RD
Mrs. Kristan Lee Pontillo, RD is a Registered Dietitian OR Nutrition Professional in Roseville, California. Qualified in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 41
- Licensed in
- CA
- In the registry since
- 2007
What do these letters mean?
- RD — Registered Dietitian
- A credentialed nutrition professional.
Practice location Address checks out
151 N Sunrise Ave Ste 1205Roseville, CA 95661-2932
Phone: (916) 624-3871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Renal Nutrition Registered Dietitian (primary) | Taxonomy 133VN1005X · Licence 715415 (CA) |
|---|
Record details
| NPI number | 1548399074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD |
| Sole proprietor | Yes |
| NPI enumerated | March 2, 2007 |
| Last updated in NPPES | August 13, 2018 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 1985 (41 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |