MRS. LISA KRISTOF WATTERSON (NPI# 1598095556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598095556 |
| Entity Type | Individual |
| Full Name | MRS. LISA KRISTOF WATTERSON |
| Credential | R.D. |
| Practice Address |
218 Windmere Dr Bowling Green KY 42103-8764 |
| Practice Telephone | 6154384250 |
| Practice Fax Number | 2705991526 |
| Mailing Telephone | 6154384250 |
| Mailing Fax Number | 2705991526 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | KY2000 | KY | Dietary & Nutritional Service Providers |
| Street Address |
218 WINDMERE DR |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-8764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144670282 | 65 Consulting LLC | Early Intervention Provider Agency | 218 Windmere Dr, Bowling Green, KY 42103-8764 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750894127 | Allison Marie Toth | Dietitian, Registered | 1857 Tucker Way Ste B, Bowling Green, KY 42104-6258 | 2017-11-08 |
| 1316493083 | Marisa Woodall | Dietitian, Registered | 1324 Chestnut St, Unit 2, Bowling Green, KY 42101-3467 | 2016-08-31 |
| 1275943409 | Tracey Valleroy | Dietitian, Registered | 146 Sylvan Cir, Bowling Green, KY 42101-8818 | 2014-04-28 |
| 1497910582 | Megan Katherine Hannan Sankey | Dietitian, Registered | 615 2nd St Apt 5, Bowling Green, OH 43402-4078 | 2008-07-28 |
| 1831112507 | Bowling Green Warren County Community Hospital Corporation | Dietitian, Registered | 1857 Tucker Way, Suite B, Bowling Green, KY 42104-6258 | 2006-07-25 |
| 1568421527 | Nikki Lynn Anderson | Dietitian, Registered | 843 Fairview Ave, Suite B6, Bowling Green, KY 42101-4914 | 2006-03-20 |
| 1497730915 | Greta Ann Goodpasture Hopke | Dietitian, Registered | 19 N Main Cross St, Bowling Green, MO 63334-1643 | 2005-12-07 |
| 1073110169 | Bethany Crask | Dietitian, Registered | 1109 State St, Bowling Green, KY 42101-2648 | 2020-10-02 |
| 1285241166 | Bethany Michelle Meredith | Dietitian, Registered | 262 Natchez Trace Ave, Bowling Green, KY 42103-7995 | 2020-09-25 |
| 1801401468 | Andrea Doughty | Dietitian, Registered | 207 Traditions Blvd, Bowling Green, KY 42103-7957 | 2020-09-10 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.