Organization Active NPI

Kristina Cooke Nutrition

  • Registered Dietitian
  • Redondo Beach, CA
National Provider Identifier
1619701638
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
KRISTINA COOKE NUTRITION
Practice address
500 Avenue G Apt 10
Redondo Beach, CA 90277-6001
Phone
(310) 406-6350
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Kristina Cooke, RD
Title
Founder/Registered Dietitian
Phone
(424) 348-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1619701638",
    "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": "310-406-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINA COOKE NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "FOUNDER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "424-348-0475",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "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 Oct 14, 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.

Verify at the official NPI Registry.