Active NPI
Lisa Kristof Watterson, R.D.
- Registered Dietitian
- Alpharetta, GA
National Provider Identifier
1598095556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- KY2000
- Practice address
- 1802 Abbey CT
Alpharetta, GA 30004-6017 - Phone
- (678) 554-7576
- Fax
- (833) 875-6792
- NPI assigned
- Jan 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 7832 | GA | |
| Registered Dietitian | 133V00000X | KY2000 | KY | Primary |
Addresses
Primary practice location
1802 Abbey CT
Alpharetta, GA 30004-6017
Mailing address
218 Windmere Dr
Bowling Green, KY 42103-8764
Phone (615) 438-4250
Other practice location 1
218 Windmere Dr
Bowling Green, KY 42103-8764
Phone (615) 438-4250
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY2000 | KY | MD | Registered Dietitian |
| 7832 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Nutrition LLC | Dietitian, Registered | Current | Accepting new patients |
| Worksite Wellness Partners | Dietitian, Registered | Current | Accepting new patients |
| MNT, Inc. | Dietitian, Registered | Past | Accepting new patients |
| 65 Consulting LLC | Past | Accepting new patients |
Locations
1802 Abbey Ct
Alpharetta, GA 30004
Phone (678) 393-8661
Organizations & group practices 4
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.
-
- Early Intervention Provider Agency
- Bowling Green, KY
- NPI 1144670282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756425600000",
"number": "1598095556",
"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",
"fax_number": "270-599-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 ABBEY CT",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300046017",
"telephone_number": "678-554-7576",
"fax_number": "833-875-6792"
}
],
"practiceLocations": [
{
"address_1": "218 Windmere Dr",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421038764",
"country_code": "US",
"telephone_number": "615-438-4250",
"fax_number": "270-599-1526",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WATTERSON",
"first_name": "LISA",
"middle_name": "KRISTOF",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2025-08-29",
"certification_date": "2025-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "7832",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "KY",
"license": "KY2000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.