Unknown Individual – Registered Dietitian, NPI 1790112795

Unknown Individual is a healthcare provider. based in Windermere, Florida. specializing in Registered Dietitian. They hold a License No. MA55794 (FL). The NPI Number for Unknown Individual is 1790112795

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790112795
Phone
(407) 312-4613
Address
6128 GOLDEN DEWDROP TRAIL
Deactivation Date
2 May 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6128 GOLDEN DEWDROP TRAIL

    WINDERMERE, FL 34786

    Phone: (407) 312-4613

    Fax: (407) 614-4149

    Type: Mailing

  • 2658 MAGUIRE RD

    OCOEE, FL 34761

    Phone: (407) 312-4613

    Fax: (407) 614-4122

    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 34786)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1790112795 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Registered Dietitian. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Windermere, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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