Active NPI
Kora Nutrition Therapy, LLC
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1386016285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND7562
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT84078 | TX | |
| Registered Dietitian | 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 DirectoryNPI 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.