Unknown Individual – Metabolic Nutrition Registered Dietitian, NPI 1316489065

Unknown Individual is a healthcare provider. based in Omaha, Nebraska. specializing in Metabolic Nutrition Registered Dietitian. They hold a License No. 752 (NE). The NPI Number for Unknown Individual is 1316489065

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316489065
Phone
(402) 618-0209
Address
2505 N 24TH ST
Deactivation Date
17 April 2024
Data current as of
20 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

  • 2505, North 24th Street, Omaha, Douglas County, Nebraska, 68110, United States

    OMAHA, NE 681102252

    Phone: (402) 618-0209

    Fax: (402) 905-0321

    Type: Mailing

  • South 117th Street, Omaha, Douglas County, Nebraska, 68154, United States

    OMAHA, NE 681375726

    Phone: (402) 618-0209

    Fax: (402) 905-0321

    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 68110)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1316489065 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Metabolic Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Omaha, Nebraska because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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