KRISTEN ETHRIDGE NP
NPI 1487979001
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since April 07, 2010
10833 LE CONTE AVE, LOS ANGELES, CA 90095(310) 825-9820 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Nov 14, 2017 (2 updates tracked since 2017).

About Kristen Ethridge Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTEN ETHRIDGE NP (NPI 1487979001) is an individual pediatrics provider in Los Angeles, California, licensed in California (10455) and active in the NPI registry since April 2010. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1487979001
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKRISTEN ETHRIDGECredential: NP
Location Address10833 LE CONTE AVELos Angeles, CA 90095-6062
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (323) 361-4148
Sole ProprietorYes
Enumeration DateApril 7, 2010
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1487979001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses Licensed in CA · 10455 Licensed in CA · 342343
10833 LE CONTE AVE, Los Angeles, CA 90095

Other Names 1

Former Name (1)Kristen Eistetter

Secondary Practice Location 1

Location 14650 W Sunset BlvdLos Angeles, CA 90027-6062 · Phone (323) 361-4148 · Fax (323) 361-3668

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Infectious Disease)
10833 LE CONTE AVE, CHS 37-121
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology & Clinical Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Pathology (Anatomic Pathology)
10833 LE CONTE AVE, STE B-186 CHS
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Anesthesiology
10833 LE CONTE AVE
LOS ANGELES, CA 90095
Radiology (Diagnostic Radiology)
10833 LE CONTE AVE, DEPARTMENT OF RADIOLOGY
LOS ANGELES, CA 90095
Internal Medicine
10833 LE CONTE AVE
LOS ANGELES, CA 90095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristen Ethridge's NPI number?

The NPI number for Kristen Ethridge is 1487979001. It was assigned to this individual provider in the NPPES registry on April 7, 2010. The provider is also known as Kristen Eistetter.

Where is Kristen Ethridge located?

Kristen Ethridge practices at 10833 Le Conte Ave, Los Angeles, CA 90095. The listed phone number is (310) 825-9820.

What is Kristen Ethridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kristen Ethridge was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.