Organization Active NPI

Kora Nutrition Therapy, LLC

  • Registered Dietitian
  • Tampa, FL
National Provider Identifier
1386016285
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7562 Issued in FL
Legal business name
KORA NUTRITION THERAPY, LLC
Practice address
15310 Amberly Dr Ste 250
Tampa, FL 33647-1642
Phone
(813) 995-7497
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Kelsey Cobler, RDN, LD
Title
Owner
Phone
(979) 236-2301

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT84078 TX
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X ND7562 FL Primary

Addresses

Primary practice location

15310 Amberly Dr Ste 250
Tampa, FL 33647-1642

Mailing address

PO Box 48993
Tampa, FL 33646-0151

Other practice location 1

6237 Love Dr Apt 1815
Irving, TX 75039-4044
Phone (979) 236-2301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1386016285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 48993",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336460151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15310 AMBERLY DR STE 250",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471642",
            "telephone_number": "813-995-7497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6237 Love Dr Apt 1815",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750394044",
            "country_code": "US",
            "telephone_number": "979-236-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KORA NUTRITION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "COBLER",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-236-2301",
        "authorized_official_credential": "RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT84078",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.