Active NPI
Kathryn Cohen, MS, RDN
- Registered Dietitian
- Los Angeles, CA
National Provider Identifier
1215430202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86033028
- Practice address
- 12414 Exposition Blvd
Los Angeles, CA 90064-1016 - Phone
- (310) 272-7640
- NPI assigned
- Mar 15, 2018
- 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 | 86033028 | CA | Primary |
Addresses
Primary practice location
12414 Exposition Blvd
Los Angeles, CA 90064-1016
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (310) 272-7640
Other practice location 1
12401 Wilshire Blvd
Ste 300
Los Angeles, CA 90025-1087
Phone (424) 666-2722
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kathryn.cohen@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86033028 | CA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Single Specialty | Current | Accepting new patients |
| Ny Society for the Relief of Ruptured & Crippled Maintaining | Single Specialty | Current | Accepting new patients |
Locations
535 E 70th St
New York, NY 10021
Interoperability endpoints
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2
- kathryn.cohen@direct.usc.edu
- https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- New York, NY
- NPI 1902243488
Single Specialty
-
- Orthopaedic Surgery Physician
- Paramus, NJ
- NPI 1982004529
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1215430202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "310-272-7640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12414 EXPOSITION BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641016",
"telephone_number": "310-272-7640"
}
],
"practiceLocations": [
{
"address_1": "12401 WILSHIRE BLVD",
"address_2": "STE 300",
"address_purpose": "LOCATION",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251087",
"country_code": "US",
"telephone_number": "424-666-2722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "KATHRYN",
"credential": "MS, RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2023-11-27",
"certification_date": "2020-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86033028",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kathryn.cohen@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "12414 Exposition Blvd",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900641016",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.