Active NPI
Christine Koski, R.D.
- Registered Dietitian
- Van Nuys, CA
National Provider Identifier
1205163151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 998016
- Practice address
- 15119 Burbank Blvd Apt 7
Van Nuys, CA 91411-3564 - Phone
- (734) 395-0973
- NPI assigned
- Nov 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 998016 | MI | Primary |
Addresses
Primary practice location
15119 Burbank Blvd Apt 7
Van Nuys, CA 91411-3564
Mailing address
15119 Burbank Blvd Apt 7
Van Nuys, CA 91411-3564
Phone (734) 395-0973
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 |
|---|---|---|---|
| 998016 | MI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258070400000",
"number": "1205163151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15119 BURBANK BLVD APT 7",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113564",
"telephone_number": "734-395-0973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15119 BURBANK BLVD APT 7",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914113564",
"telephone_number": "734-395-0973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSKI",
"first_name": "CHRISTINE",
"credential": "R.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-13",
"last_updated": "2009-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "998016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.