Unknown Individual – Registered Dietitian, NPI 1245331784

Unknown Individual is a healthcare provider. based in Poplar bluff, Missouri. specializing in Registered Dietitian. They hold a License No. 2001023321 (MO). The NPI Number for Unknown Individual is 1245331784

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245331784
Phone
Not provided
Address
2018 N 14TH ST
Deactivation Date
13 December 2023
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

  • 2018, North 14th Street, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639012907

    Phone:

    Type: Mailing

  • John J. Pershing VA Medical Center, 1500, North Westwood Boulevard, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639013318

    Phone: (573) 686-4151

    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

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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 63901)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1245331784 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Registered Dietitian. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Poplar Bluff, Missouri; 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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