Active NPI
Nicole Fioretti, MS, RD
- Registered Dietitian
- Tampa, FL
National Provider Identifier
1689334641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- ND11839
- Practice address
- 12530 Usf Bulls Run Drive
Tampa, FL 33620-3324 - Phone
- (813) 821-8038
- Fax
- (813) 974-0483
- NPI assigned
- Dec 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | ND11839 | FL | Primary |
Addresses
Primary practice location
12530 Usf Bulls Run Drive
Tampa, FL 33620-3324
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (891) 382-1803
Other practice location 1
2771 Sunrise St
Yorktown Heights, NY 10598-3324
Phone (914) 672-0961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IF5FR | Other | FL | BCBS |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11839 | FL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients | |
| University Medical Service Association Inc | Current | Accepting new patients |
Locations
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
4202 E Fowler Ave
Stop SHS100
Tampa, FL 33620
Phone (813) 974-2331
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- General Practice Physician
- Tampa, FL
- NPI 1326088295
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1689334641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "891-382-1803",
"fax_number": "813-974-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12530 USF BULLS RUN DRIVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336203324",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
}
],
"practiceLocations": [
{
"address_1": "2771 Sunrise St",
"address_purpose": "LOCATION",
"city": "Yorktown Heights",
"state": "NY",
"postal_code": "105983324",
"country_code": "US",
"telephone_number": "914-672-0961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FIORETTI",
"first_name": "NICOLE",
"credential": "MS, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "ND11839",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "IF5FR",
"state": "FL"
}
],
"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 Nov 4, 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.