Active NPI
Lindsay Crandall Watkins, RD, IBCLC
- Registered Dietitian
- Missoula, MT
National Provider Identifier
1114599065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 34857
- Practice address
- 214 Agnes Ave
Missoula, MT 59801-8731 - Phone
- (406) 544-3576
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 34857 | MT | Primary |
Addresses
Primary practice location
214 Agnes Ave
Missoula, MT 59801-8731
Mailing address
214 Agnes Ave
Missoula, MT 59801-8731
Phone (406) 544-3576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34857 | MT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Take Control, Inc | Dietitian, Registered | Past | Accepting new patients |
| Pinnacle Medical Supply | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Pinnacle Medical Solutions
- Durable Medical Equipment & Medical Supplies
- Missoula, MT
- NPI 1265104681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1114599065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 AGNES AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018731",
"telephone_number": "406-544-3576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "214 AGNES AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598018731",
"telephone_number": "406-544-3576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "LINDSAY",
"middle_name": "CRANDALL",
"name_prefix": "Mrs.",
"credential": "RD, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MT",
"license": "34857",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.