Unknown Individual – Registered Dietitian, NPI 1720209836

Unknown Individual is a healthcare provider. based in Andover, Massachusetts. specializing in Registered Dietitian. They hold a License No. 1710 (MA). The NPI Number for Unknown Individual is 1720209836

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720209836
Phone
(978) 852-5394
Address
38 DUFTON RD
Deactivation Date
27 January 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

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Provider Addresses for Unknown Individual

  • 36;38, Dufton Road, Shawsheen Village, Andover, Essex County, Massachusetts, 01810, United States

    ANDOVER, MA 018102716

    Phone: (978) 852-5394

    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.

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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 01810)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1720209836.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Registered Dietitian. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Andover?
Public fields place Unknown Individual around Andover, Massachusetts. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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