Individual provider Active NPI

Alexandra Deluca, MS, C-IAYT, ERYT-500

  • Health & Wellness Coach
  • Hollywood, FL
National Provider Identifier
1265303077
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
78543601 Issued in FL
Practice address
2 Oakwood Blvd Ste 163
Hollywood, FL 33020-1961
Phone
(954) 663-2692
NPI assigned
Sep 15, 2025
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 78543601 FL
Health & Wellness Coach 171400000X 78543601 FL Primary

Addresses

Primary practice location

2 Oakwood Blvd Ste 163
Hollywood, FL 33020-1961

Mailing address

2517 N 28TH Ave
Hollywood, FL 33020-1815
Phone (954) 663-2692

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
78543601FLMDRehabilitation Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Yoga Therapy Health & Wellness Coach CurrentSince Sep 21, 2025 Accepting new patients

Locations

2 Oakwood Blvd
Ste 163
Hollywood, FL 33020
Phone (954) 663-2692

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1265303077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 N 28TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201815",
            "telephone_number": "954-663-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OAKWOOD BLVD STE 163",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201961",
            "telephone_number": "954-663-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELUCA",
        "first_name": "ALEXANDRA",
        "credential": "MS, C-IAYT, ERYT-500",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "FL",
            "license": "78543601",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "FL",
            "license": "78543601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.