Unknown Individual – Nutritionist, NPI 1699042127

Unknown Individual is a healthcare provider. based in Ann arbor, Michigan. specializing in Nutritionist. The NPI Number for Unknown Individual is 1699042127

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699042127
Phone
(734) 475-2737
Address
1785 W STADIUM BLVD STE 104
Deactivation Date
10 September 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1785 W STADIUM BLVD STE 104

    ANN ARBOR, MI 481035285

    Phone: (734) 475-2737

    Fax: (734) 475-2737

    Type: Mailing

  • 1785 W STADIUM BLVD

    SUITE 104

    ANN ARBOR, MI 481035285

    Phone: (734) 475-2737

    Fax: (734) 475-2737

    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.

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 48103)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1699042127 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Nutritionist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Ann Arbor, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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