Individual provider Active NPI

Victoria Regina Kleckner, RDN

  • Registered Dietitian
  • Ocala, FL
National Provider Identifier
1205599719
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND10631 Issued in FL
Practice address
1627 SW 1St Ave Ste 100
Ocala, FL 34471-6515
Phone
(352) 368-1661
NPI assigned
Oct 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietetic Technician 136A00000X ND10631 FL
Registered Dietitian 133V00000X ND10631 FL Primary

Addresses

Primary practice location

1627 SW 1St Ave Ste 100
Ocala, FL 34471-6515

Mailing address

1627 SW 1St Ave Ste 100
Ocala, FL 34471-6515
Phone (352) 368-1661

Other practice location 1

1500 SW 1st Ave
Ocala, FL 34471-6504
Phone (253) 229-3548

Other practice location 2

6919 N Dale Mabry Hwy Ste 200
Tampa, FL 33614-3972
Phone (813) 933-3324

Other practice location 3

6043 Winthrop Commerce Ave Ste 201
Riverview, FL 33578-4274
Phone (813) 291-0629

Other practice location 4

3000 Medical Park Dr Ste 490
Tampa, FL 33613-6600
Phone (813) 971-2470

Other practice location 5

30115 County Road 52 Ste 101
San Antonio, FL 33576-8243
Phone (813) 467-4244

Other practice location 6

4705 Alt 19 Ste B
Palm Harbor, FL 34683-1424
Phone (727) 935-6798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000116 FL Practitioner - Registered Dietitian Or Nutrition Professional 9739626284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians

Practice addresses (Care Compare)

1623 SW 1St Ave
Ocala, FL 34471-6528
Phone (352) 401-8660

2700 Healing Way
Wesley Chapel, FL 33543-5453

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND10631FLMDRegistered Dietetic Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Physician Group Inc CurrentSince Oct 6, 2024 Accepting new patients
University Community Hospital, Inc Past Accepting new patients

Locations

1627 SW 1st Ave
Ste 100
Ocala, FL 34471
Phone (352) 368-1661

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

4705 Alt 19
Ste B
Palm Harbor, FL 34683
Phone (727) 787-4875

6043 Winthrop Commerce Ave
Ste 201
Riverview, FL 33578
Phone (813) 291-0629

30115 Highway 52
Ste 101
San Antonio, FL 33576
Phone (813) 467-4244

13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260

3000 Medical Park Dr
Ste 490
Tampa, FL 33613
Phone (813) 615-7306

6919 N Dale Mabry Hwy
Ste 200
Tampa, FL 33614
Phone (813) 929-5474

2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1205599719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 SW 1ST AVE STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716515",
            "telephone_number": "352-368-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 SW 1ST AVE STE 100",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716515",
            "telephone_number": "352-368-1661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344716504",
            "country_code": "US",
            "telephone_number": "253-229-3548",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6919 N Dale Mabry Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336143972",
            "country_code": "US",
            "telephone_number": "813-933-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6043 Winthrop Commerce Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335784274",
            "country_code": "US",
            "telephone_number": "813-291-0629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Medical Park Dr Ste 490",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336136600",
            "country_code": "US",
            "telephone_number": "813-971-2470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30115 County Road 52 Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "FL",
            "postal_code": "335768243",
            "country_code": "US",
            "telephone_number": "813-467-4244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 Alt 19 Ste B",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346831424",
            "country_code": "US",
            "telephone_number": "727-935-6798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLECKNER",
        "first_name": "VICTORIA",
        "middle_name": "REGINA",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "FL",
            "license": "ND10631",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.