Unknown Individual – Registered Dietitian, NPI 1093733677

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Registered Dietitian. They hold a License No. DT00912 (TX). The NPI Number for Unknown Individual is 1093733677

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093733677
Phone
(806) 743-2898
Address
PO BOX 5865
Deactivation Date
12 March 2026
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

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794085865

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • Texas Tech Health Sciences Center, 3601, 4th Street, Lubbock, Lubbock County, Texas, 79415, United States

    SUITE 4C201

    LUBBOCK, TX 794309410

    Phone: (806) 743-3150

    Fax: (806) 743-3148

    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 79408)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1093733677 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Registered Dietitian. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Lubbock, Texas in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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