Organization Active NPI

White Koi Wellness

  • Registered Dietitian
  • Maitland, FL
National Provider Identifier
1760316186
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
WHITE KOI WELLNESS
Practice address
1063 Maitland Center Commons Blvd
Maitland, FL 32751-7436
Phone
(941) 284-8497
Fax
(407) 544-4023
NPI assigned
Jun 10, 2026
Last updated
Aug 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Authorized official

Name
Mikaela Coel, MPH, RD, LDNNPI 1922668193
Title
Dietitian
Phone
(941) 284-8497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

1063 Maitland Center Commons Blvd
Maitland, FL 32751-7436

Mailing address

14420 Quail Trail CT
Orlando, FL 32837-7087
Phone (941) 284-8497

National Provider Directory

National Provider Directory

Locations

1063 Maitland Center Commons Blvd
Maitland, FL 32751

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1760316186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14420 QUAIL TRAIL CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377087",
            "telephone_number": "941-284-8497",
            "fax_number": "407-544-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 MAITLAND CENTER COMMONS BLVD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517436",
            "telephone_number": "941-284-8497",
            "fax_number": "407-544-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE KOI WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "COEL",
        "authorized_official_first_name": "MIKAELA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "941-284-8497",
        "authorized_official_credential": "MPH, RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.