Unknown Individual – Registered Dietitian, NPI 1275171787

Unknown Individual is a healthcare provider. based in Fort myers, Florida. specializing in Registered Dietitian. They hold a License No. ND2098 (FL). The NPI Number for Unknown Individual is 1275171787

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275171787
Phone
(239) 895-0610
Address
1820 COLONIAL BLVD
Deactivation Date
27 December 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1820 COLONIAL BLVD

    FORT MYERS, FL 33907

    Phone: (239) 895-0610

    Fax: (895) 689-5783

    Type: Mailing

  • 2011 N WHEELER STREET

    PLANT CITY, FL 33563

    Phone: (813) 215-5113

    Fax: (813) 652-8051

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33907)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1275171787.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Registered Dietitian in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Fort Myers, Florida as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

MS. JACQUELYN A KASZUBA (MSRD)

Registered Dietitian
3033 WINKLER AVENUE EXT
NPI: 1841306461

SUSAN E HARMS (DIETICIAN)

Registered Dietitian
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
NPI: 1801904404

SHARON ANNE TILBE (R.D N.D.)

Registered Dietitian
Fort Myers Post Office, North Airport Road, Lee County, Florida, 33907, United States
NPI: 1265535579

MARY M MCCORMACK (RD, LDN)

Registered Dietitian
12458 MCGREGOR WOODS CIR
NPI: 1104978659
13813 Metro Pkwy
NPI: 1659491884

JAYME A KUKOWSKI

Registered Dietitian
PO BOX 7006
NPI: 1841414356
PO BOX 2147
NPI: 1316132699

MRS. STACY D LAFFIN (MS,RD,LD)

Registered Dietitian
PO BOX 2147
NPI: 1861675175
6501 GREENBRIAR FARMS RD
NPI: 1689859365