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Deactivated NPI 1083226302 Deactivated / Inactive NPI Female Practitioner

Linda Lazzar , RD

Dietitian, Registered • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Linda Lazzar has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2020
NPI Deactivation Date September 25, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

Linda Lazzar, RD was a registered Dietitian, Registered practicing in Austin, TX. Throughout an active medical career spanning 1 years, Linda Lazzar provided care at the practice location at 3724 JEFFERSON ST STE 104 until profile deactivation on 2020-09-25.

Practice Location & Contact Primary Location

Practice Address

3724 Jefferson St Ste 104

Austin, TX 787316204

Telephone 5126937045
Associated Practice Facility / Clinic
🏢 Nourish, Inc. Facility NPI 1558097824

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
1050 Specialists

Practicing in Austin, TX (5148 Statewide)

Telehealth Adoption Rate
3.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kimberley Bandelier , RD, LD

Dietitian, Registered

NPI 1003220344

Registered Dietitian, Licensed Dietitian

Naomi Oetken , RDN

Dietitian, Registered

NPI 1003739640

Registered Dietitian Nutritionist

Lauren Incarnato

Dietitian, Registered

NPI 1003754953
Bailie Gardner

Dietitian, Registered

NPI 1003769126
NPI 1013478056

Master of Science, Registered Dietitian Nutritionist, Licensed Dietitian Nutritionist

Alyssa Deluccia

Dietitian, Registered

NPI 1013699537

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Updated Practice Location August 03, 2026

Registered at 3724 JEFFERSON ST STE 104, AUSTIN, TX 787316204 (Tel: 5126937045)

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Updated Business Mailing Address August 03, 2026

Registered at 5021 N 20TH ST UNIT 10054, PHOENIX, AZ 850646004

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Updated Practice Location July 02, 2026

Registered at 287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 851435096 (Tel: 4806778282)

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Updated Business Mailing Address July 02, 2026

Registered at 5021 N 20TH ST UNIT 32933, PHOENIX, AZ 850646089

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Provider Name / Credentials Updated July 02, 2026

Recorded as LINDA LAZZAR, RD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Dietitian, Registered

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NPI Profile Deactivated September 25, 2020

Record deactivated on September 25, 2020

NPI Profile Active August 18, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2020

Registered at 287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 851435096 (Tel: 4806778282)

📍
Updated Business Mailing Address August 18, 2020

Registered at 5021 N 20TH ST UNIT 32933, PHOENIX, AZ 850646089

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Provider Name / Credentials Updated August 18, 2020

Recorded as LINDA LAZZAR, RD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2020

Dietitian, Registered

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Initial NPI Registration & Enumeration August 18, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083226302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2020
Last Update: August 03, 2026
Deactivation Date: September 25, 2020
Sole Proprietor: Yes

Mailing Address

5021 N 20th St Unit 10054

Phoenix, AZ 850646004

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.