Unknown Individual – Registered Dietitian, NPI 1366544504

Unknown Individual is a healthcare provider. based in Lake worth, Florida. specializing in Registered Dietitian. They hold a License No. ND582 (FL). The NPI Number for Unknown Individual is 1366544504

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366544504
Phone
(561) 681-2524
Address
19 W PALM AVE
Deactivation Date
20 December 2021
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

Loading map...

Provider Addresses for Unknown Individual

  • 19 W PALM AVE

    LAKE WORTH, FL 334674825

    Phone: (561) 681-2524

    Fax: (561) 681-2501

    Type: Mailing

  • 1665, Palm Beach Lakes Boulevard, West Palm Beach, Palm Beach County, Florida, 33401, United States

    WEST PALM BEACH, FL 334012121

    Phone: (561) 681-2524

    Fax: (561) 681-2501

    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 33467)

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

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1366544504 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Lake Worth, Florida?
For routing, start with Lake Worth, Florida for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

MRS. REBECCA BERMAN (RD LDN)

Registered Dietitian
4847, Fred Gladstone Drive, West Palm Beach, Palm Beach County, Florida, 33417, United States
NPI: 1508930728

MS. JO ANN DONNELLY (RD)

Registered Dietitian
1250, Southwinds Drive, Lantana, Palm Beach County, Florida, 33462, United States
NPI: 1205999349
6288 SHADOW TREE LN
NPI: 1568590792

CHRISTIE S CAGGIANI (RD, LD/N)

Registered Dietitian
7669 CEDAR HURST CT
NPI: 1043470032

PHYSICIANS MEDICAL ASSOCIATES, LLC

Group Psychotherapy Psychologist
Lantana Road Branch, 4020, Lantana Road, Atlantis, Palm Beach County, Florida, 33462, United States
NPI: 1073748695

ROSITA GRANADOS (RD., LD)

Registered Dietitian
7173 GOLF COLONY CT APT 204
NPI: 1528397692
1402 N O ST
NPI: 1417246661
THE TREATMENT CENTER
NPI: 1811288251
501 SW 109TH AVE APT 301
NPI: 1104346840