Active NPI
Kristina Katherine Cooke, RD
- Registered Dietitian
- Redondo Beach, CA
National Provider Identifier
1245894906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86069006
- Practice address
- 500 Avenue G Apt 10
Redondo Beach, CA 90277-6001 - Phone
- (424) 348-0475
- NPI assigned
- Apr 29, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 86069006 | CA | |
| Nutrition Education Nutritionist | 133NN1002X | 86069006 | CA | |
| Metabolic Nutrition Registered Dietitian | 133VN1006X | 86069006 | CA | |
| Registered Dietitian | 133V00000X | 86069006 | CA | Primary |
Addresses
Primary practice location
500 Avenue G Apt 10
Redondo Beach, CA 90277-6001
Mailing address
19908 Mildred Ave
Torrance, CA 90503-1124
Phone (310) 406-6350
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1245894906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19908 MILDRED AVE",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905031124",
"telephone_number": "310-406-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVENUE G APT 10",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902776001",
"telephone_number": "424-348-0475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOKE",
"first_name": "KRISTINA",
"middle_name": "KATHERINE",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-29",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "CA",
"license": "86069006",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "CA",
"license": "86069006",
"primary": false
},
{
"code": "133VN1006X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Metabolic",
"state": "CA",
"license": "86069006",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86069006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.