Active NPI
Kirsten Renee Watts, DIPACLM, MS, RDN, LD
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1245501584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 953636
- Practice address
- 1023 Quincy St SE
Albuquerque, NM 87108-3511 - Phone
- (505) 917-5547
- NPI assigned
- Jan 18, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-0719 | NM | |
| Registered Dietitian | 133V00000X | 953636 | NM | Primary |
Addresses
Primary practice location
1023 Quincy St SE
Albuquerque, NM 87108-3511
Mailing address
1023 Quincy St SE
Albuquerque, NM 87108-3511
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 953636 | NM | MD | Registered Dietitian |
| LD-0719 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1245501584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 QUINCY ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083511",
"fax_number": "505-917-5547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 QUINCY ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871083511",
"telephone_number": "505-917-5547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATTS",
"first_name": "KIRSTEN",
"middle_name": "RENEE",
"credential": "DIPACLM, MS, RDN, LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-18",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-0719",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "953636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.