Unknown Individual – Registered Dietitian, NPI 1295902393

Unknown Individual is a healthcare provider. based in Hollywood, Florida. specializing in Registered Dietitian. They hold a License No. ND4180 (FL). The NPI Number for Unknown Individual is 1295902393

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295902393
Phone
(954) 205-2909
Address
1414 JACKSON ST
Deactivation Date
6 July 2022
Data current as of
20 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

  • 1414, Jackson Street, Hollywood, Broward County, Florida, 33020, United States

    HOLLYWOOD, FL 330205242

    Phone: (954) 205-2909

    Mailing address matches the actual address.

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.

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 33020)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1295902393 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Registered Dietitian for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Hollywood, Florida on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1295902393. Always confirm identity and privileges with the practice and licensing boards.

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