Kathryn Connelly Kozakowski

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

5018 Issued in CA

Practice address

UCLA Health 757 Westwood Plaza
Los Angeles, CA 90095-4114

Phone

(424) 467-5114

NPI assigned

Jul 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1306571138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10815 GARFIELD AVE",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304114",
            "telephone_number": "310-559-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCLA HEALTH 757 WESTWOOD PLAZA",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900954114",
            "telephone_number": "424-467-5114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10815 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902304114",
            "country_code": "US",
            "telephone_number": "310-559-4171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZAKOWSKI",
        "first_name": "KATHRYN",
        "middle_name": "CONNELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021683",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CA",
            "license": "5018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koyama Chiropractic Corp
• Koyama Chiropractic Corp
• Hironari Koyama, D.C.
• Samantha Koyama
• Nicolina Kozak
• Philip Andrew Kozan, MD
• Melanie Morgan Kozar, RBT
• Steven Robert Kozel, PHARM.D.
• Loren Kozela, RPT
• Meredith Kozelchik, FNP-C

• Clinical Nurse Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Nurse Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.