Unknown Individual – Registered Dietitian, NPI 1356476337

Registered Dietitian

Unknown Individual is a healthcare provider. based in Tyler, Texas. specializing in Registered Dietitian. They hold a License No. DTO1818 (TX). The NPI Number for Unknown Individual is 1356476337

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1356476337

Phone

(903) 595-3626

Address

508 HYDE PARK DR

Deactivation Date

25 November 2020

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

Provider Addresses for Unknown Individual

508 HYDE PARK DR
TYLER, TX 757017756
Phone: (903) 595-3626
Type: Mailing
820 S BECKHAM AVE
TYLER, TX 757011904
Phone: (903) 531-4848
Fax: (903) 531-5800
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.

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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 75701)

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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 1356476337 for Unknown Individual.

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.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Registered Dietitian. Clinical services aligned with this taxonomy classification.

Is Unknown Individual tied to Tyler, Texas?

If you are local to Tyler, Texas, Unknown Individual may be relevant to your search.

Can I export Unknown Individual's record?

You can download the official NPPES record; we summarize key fields for readability.