Individual provider Active NPI

Kristin Aamodt Kopelson, MS, RN, NP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1184675324
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
467124/8430 Issued in CA
Practice address
11301 Wilshire Blvd
Cardiology, 111E
Los Angeles, CA 90073-1003
Phone
(310) 478-3711
Fax
(310) 268-4288
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 467124/8430 CA Primary

Addresses

Primary practice location

11301 Wilshire Blvd
Cardiology, 111E
Los Angeles, CA 90073-1003

Mailing address

1681 Comstock Ave
Los Angeles, CA 90024-5300
Phone (310) 478-3711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
8430CAMDPhysical Therapist
467124/8430CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184675324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 COMSTOCK AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245300",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 WILSHIRE BLVD",
            "address_2": "CARDIOLOGY, 111E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900731003",
            "telephone_number": "310-478-3711",
            "fax_number": "310-268-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPELSON",
        "first_name": "KRISTIN",
        "middle_name": "AAMODT",
        "name_prefix": "Ms.",
        "credential": "MS, RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "467124/8430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.