Active NPI
Waiki Vicky Cora, RD
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1356513865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND10389
- Practice address
- 8270 Woodland Center Blvd
Tampa, FL 33614-2401 - Phone
- (305) 449-9219
- Fax
- (515) 864-0259
- NPI assigned
- Mar 25, 2008
- Last updated
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND10389 | FL | Primary |
| Registered Dietitian | 133V00000X | LD1583 | NM |
Addresses
Primary practice location
8270 Woodland Center Blvd
Tampa, FL 33614-2401
Mailing address
317 6TH Ave Ste 400
Des Moines, IA 50309-4108
Other practice location 1
735 W Animas St
Farmington, NM 87401-5616
Phone (505) 609-6300
Other names 1
- Waiki Vicky Leung
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND10389 | FL | MD | Registered Dietitian |
| LD1583 | NM | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1356513865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 6TH AVE STE 400",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503094108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8270 WOODLAND CENTER BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336142401",
"telephone_number": "305-449-9219",
"fax_number": "515-864-0259"
}
],
"practiceLocations": [
{
"address_1": "735 W Animas St",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874015616",
"country_code": "US",
"telephone_number": "505-609-6300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORA",
"first_name": "WAIKI",
"middle_name": "VICKY",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND10389",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD1583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WAIKI",
"last_name": "LEUNG",
"middle_name": "VICKY",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tampa, FL
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- Taja Diane Cora
- Coral Springs Therapeutic Inc
- Coram Healthcare Corporation of Florida (Coram CVS/specialty Infusion Services)
- Coram Healthcare Corporation of Florida (Coram Neighborhood Ambulatory Infusion Suite)
- Amanda Corbin, LCSW
- Nicola Corbin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.