Alana Widen, RD, LDN, ISAK-1

Primary specialty

Sports Dietetics Nutrition Registered DietitianTaxonomy code 133VN1501X

License

ND11253 Issued in FL

Practice address

4571 Leeward Ridge Dr Apt 201
Tampa, FL 33619-6853

Phone

(708) 476-8048

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1457124372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4571 LEEWARD RIDGE DR APT 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196853",
            "telephone_number": "708-476-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4571 LEEWARD RIDGE DR APT 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336196853",
            "telephone_number": "708-476-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDEN",
        "first_name": "ALANA",
        "credential": "RD, LDN, ISAK-1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1501X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Sports Dietetics",
            "state": "FL",
            "license": "ND11253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Wick, ARNP
• Kailey A Wickens, APRN
• Corina Janine Wickiser
• Samuel A Wickline, MD
• Jennifer L. Wicks, APRN
• Felix Bradley Widlacki, DO
• Heather Widmer, LMHC, CAP
• Charnell Marie Widnall, MA, LMHC
• Ashley Widom
• Barbara Wieckowski

• Sports Dietetics Nutrition Registered Dietitian in Tampa, FL
• Providers in Tampa, FL by specialty
• Sports Dietetics Nutrition Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.