65 Consulting LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

125985 Issued in KY

Legal business name

65 CONSULTING LLC

Practice address

218 Windmere Dr
Bowling Green, KY 42103-8764

Phone

(615) 438-4250

NPI assigned

Jun 20, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lisa Kristof Watterson, R.D.NPI 1598095556

Title

Registered Dietitian

Phone

(615) 438-4250

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Kristof Watterson, R.D.

  • Registered Dietitian
  • Alpharetta, GA
  • NPI 1598095556
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1144670282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 WINDMERE DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038764",
            "telephone_number": "615-438-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 WINDMERE DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038764",
            "telephone_number": "615-438-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "65 CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "WATTERSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KRISTOF",
        "authorized_official_title_or_position": "REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "615-438-4250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "125985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 100 Chiro Stewart, PLLC
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• 4MD2 Physician Services of Bowling Green LLC
• A Mother'S Village, LLC
• Randa Abbas
• Braiden Lynn Abbott, LPCC
• Abdol Ghayoumi DC PSC
• Mohammad Abdul-Waheed, MD, MPH, MBBS

• Early Intervention Provider Agency in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.