Affiliated Nutrition Consultants, LLC

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

Legal business name

AFFILIATED NUTRITION CONSULTANTS, LLC

Practice address

8108 E Michelle Dr
Scottsdale, AZ 85255-5404

Phone

(480) 251-1303

Fax

(480) 393-3072

NPI assigned

Jan 21, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Kandell Kotler, MS, RDN, CLE, CSPNPI 1518298074

Title

Owner

Phone

(480) 251-1303

Specialties & licenses 5

Addresses

Practitioners 1

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

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

  • Pediatric Nutrition Registered Dietitian
  • Scottsdale, AZ
  • NPI 1518298074

  Dietitian, Registered

  NPD (past) Authorized official

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1730578246",
    "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": "8108 E MICHELLE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555404",
            "telephone_number": "480-251-1303",
            "fax_number": "480-393-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED NUTRITION CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "KOTLER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KANDELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-251-1303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RDN, CLE, CSP"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 19, 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.