Unknown Individual – Nutritionist, NPI 1245388578

Unknown Individual is a healthcare provider. based in Plano, Texas. specializing in Nutritionist. They hold a License No. 114768 (MA). The NPI Number for Unknown Individual is 1245388578

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1245388578
Phone
(617) 721-5194
Address
4533 VISTA KNOLL DR
Deactivation Date
10 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4533, Vista Knoll Drive, Plano, Collin County, Texas, 75093, United States

    PLANO, TX 750933354

    Phone: (617) 721-5194

    Type: Mailing

  • 4533 VISTA KNOLL DR

    PLANO, TX 750933354

    Phone: (972) 734-5176

    Type: Location

  • 1820 PRESTON PARK BLVD STE 2200

    PLANO, TX 750933614

    Phone: (972) 559-4697

    Type: Location

  • 1820 Preston Park Blvd Ste 2200

    Plano, TX 750933614

    Phone: (972) 559-4697

    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 75093)

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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 1245388578 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Nutritionist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Plano, Texas as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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