Lisa Kandell Kotler, M.S., R.D., CSP

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Practice address

9201 E Mountain View Rd
Ste 120
Scottsdale, AZ 85258

Phone

(480) 587-6980

Fax

(480) 882-5023

NPI assigned

Jan 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Affiliated Nutrition Consultants, LLC

  • Pediatric Nutrition Registered Dietitian
  • Scottsdale, AZ
  • NPI 1730578246

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1518298074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8108 E MICHELLE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555404",
            "telephone_number": "480-251-1303",
            "fax_number": "480-393-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 E MOUNTAIN VIEW RD",
            "address_2": "STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85258",
            "telephone_number": "480-587-6980",
            "fax_number": "480-882-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTLER",
        "first_name": "LISA",
        "middle_name": "KANDELL",
        "name_prefix": "Ms.",
        "credential": "M.S., R.D., CSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kosinski, FNP
• Diana Beth Koss, MD
• Alessia Kosta
• Jennifer Koster, O.D.
• Alexandrina Kostova, PHARMD
• Moussa Koulbou
• Tracy Lynn Kouns, LPC-MHSP, PMHNP
• Ornella Estelle Kouomegne-Simo, MD
• Samantha Koushik
• Michelle Kovach

• Pediatric Nutrition Registered Dietitian in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Pediatric Nutrition Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.