Active NPI
K'Lynn Mitchell, MPH, RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1083592497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86132457
- Practice address
- 718 W Athens Blvd
Los Angeles, CA 90044-3921 - Phone
- (310) 720-3837
- NPI assigned
- Aug 25, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86132457 | CA | Primary |
Addresses
Primary practice location
718 W Athens Blvd
Los Angeles, CA 90044-3921
Mailing address
718 W Athens Blvd
Los Angeles, CA 90044-3921
Phone (310) 720-3837
Other practice location 1
718 W Athens Blvd
Los Angeles, CA 90044-3921
Phone (310) 720-3837
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86132457 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1083592497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 W ATHENS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443921",
"telephone_number": "310-720-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 W ATHENS BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900443921",
"telephone_number": "310-720-3837"
}
],
"practiceLocations": [
{
"address_1": "718 W Athens Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900443921",
"country_code": "US",
"telephone_number": "310-720-3837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MITCHELL",
"first_name": "K'LYNN",
"credential": "MPH, RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86132457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.