Unknown Individual – Registered Dietitian, NPI 1437198967

Unknown Individual is a healthcare provider. based in Boca raton, Florida. specializing in Registered Dietitian. They hold a License No. ND414 (FL). The NPI Number for Unknown Individual is 1437198967

Main info

Organization
Inactive
48 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437198967
Phone
(561) 994-2359
Address
4133 NW 28TH AVE
Deactivation Date
1 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5616209892
Graduation Year
1978 (48 years ago)
PAC ID
4981604709
Professional Enrollment ID
I20061229000398
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4133, Northwest 28th Avenue, Boca Raton, Palm Beach County, Florida, 33434, United States

    BOCA RATON, FL 334345834

    Phone: (561) 994-2359

    Fax: (561) 994-1794

    Type: Mailing

  • 1500, Northwest 10th Avenue, Boca Raton, Palm Beach County, Florida, 33486, United States

    SUITE 203A

    BOCA RATON, FL 334861312

    Phone: (561) 620-9892

    Fax: (561) 620-9893

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33434)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1437198967.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Registered Dietitian. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Boca Raton, Florida in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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