Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659785640 Individual Practitioner Female Practitioner

Stephanie Kim Rezac , RD, CDE

Dietitian, Registered • Sandy, UT

Professional Overview & Biography Verified Profile Summary

Stephanie Rezac, RD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Sandy, UT. Practice services are available at 7410 S CREEK RD STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include diabetes outpatient self-management training services, individual, per. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7410 S Creek Rd Ste 100

Sandy, UT 840936151

Telephone 8018161010
Associated Practice Facility / Clinic
🏢 Healthy Mind Set Intl Inc Facility NPI 1295351278

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Sandy, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 12.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Sandy, UT (687 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
19.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes
21 12 $65.81 $52.99

Medical Specialties & State Licenses

CMS Verified: 2021-02-03
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License UT 1114008-4901

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.

Dietitian, Registered

NUCC Taxonomy Code: 133V00000X

State License NV 35596DI-0

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.

Secondary Practice Locations

1175 E 50 S Ste 241

American Fork, UT 840032849

Phone: 8014298008

1055 N 500 W Ste 205

Provo, UT 846043305

Phone: 8014298095

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1033850532

Physician Assistant (Certified)

Dr. Amnon Schlegel , MD, PhD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1093910796

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Graham , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1134162258

Doctor of Medicine (M.D.)

Faisa Smith , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1295625960

NURSEPRACTITIONER

Hosanna Clay , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1306344973

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Brecken Moore , FNP

Nurse Practitioner

NPI 1336830108

Family Nurse Practitioner

Career & Practice History Timeline

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

20 Historical Events
📍
Updated Practice Location February 03, 2021

Registered at 7410 S CREEK RD STE 100, SANDY, UT 840936151 (Tel: 8018161010)

📍
Updated Business Mailing Address February 03, 2021

Registered at 7410 S CREEK RD STE 100, SANDY, UT 840936151 (Tel: 8018161010)

👤
Provider Name / Credentials Updated February 03, 2021

Recorded as STEPHANIE REZAC, RD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Dietitian, Registered (License #1114008-4901 in UT)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2020

Dietitian, Registered (License #35596DI-0 in NV)

📍
Updated Practice Location June 11, 2019

Registered at 1055 N 500 W STE 205, PROVO, UT 846043305 (Tel: 8014298095)

📍
Updated Business Mailing Address June 11, 2019

Registered at 1055 N 500 W, ATTN CREDENTIALING, PROVO, UT 846043305 (Tel: 8013548225)

👤
Provider Name / Credentials Updated June 11, 2019

Recorded as STEPHANIE ANNILLO, RD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2019

Dietitian, Registered (License #1114008-4901 in UT)

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address January 09, 2018

Registered at 9574 VEGA CARPIO AVE, LAS VEGAS, NV 891783211 (Tel: 7025264008)

📍
Updated Practice Location January 09, 2018

Registered at 6850 N DURANGO DR, #301, LAS VEGAS, NV 891494595 (Tel: 7026418500)

👤
Provider Name / Credentials Updated January 09, 2018

Recorded as STEPHANIE ANNILLO, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Dietitian, Registered (License #35596DI-0 in NV)

NPI Profile Active June 17, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2014

Registered at 6850 N DURANGO DR, #301, LAS VEGAS, NV 891494595 (Tel: 7026418500)

📍
Updated Business Mailing Address June 17, 2014

Registered at 286 BRUCE DERN AVE, LAS VEGAS, NV 891834224 (Tel: 7025264008)

👤
Provider Name / Credentials Updated June 17, 2014

Recorded as STEPHANIE ANNILLO, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2014

Dietitian, Registered (License #35596DI-0 in NV)

🟢
Initial NPI Registration & Enumeration June 17, 2014

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: 1659785640
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2014
Last Update: February 03, 2021
Sole Proprietor: No

Mailing Address

7410 S Creek Rd Ste 100

Sandy, UT 840936151

Phone: 8018161010

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.