Unknown Individual – Nutritionist, NPI 1003105370

Unknown Individual is a healthcare provider. based in Austin, Texas. specializing in Nutritionist. They hold a License No. 04872 (DC). The NPI Number for Unknown Individual is 1003105370

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003105370
Phone
(512) 206-4158
Address
4105 MEDICAL PARKWAY #202
Deactivation Date
15 April 2021
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

Provider Addresses for Unknown Individual

  • 4105 MEDICAL PARKWAY #202

    AUSTIN, TX 78756

    Phone: (512) 206-4158

    Fax: (512) 206-4158

    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 78756)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1003105370 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Nutritionist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Austin, Texas?
If you are local to Austin, Texas, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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