Unknown Individual – Registered Dietitian, NPI 1295707420

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Registered Dietitian. They hold a License No. DI00000767 (WA). The NPI Number for Unknown Individual is 1295707420

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295707420
Phone
(253) 968-0564
Address
9040A REID ST
Deactivation Date
10 May 2023
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

  • 9040A REID ST

    TACOMA, WA 984331001

    Phone: (253) 968-0564

    Fax: (253) 968-0567

    Type: Location

  • 3403, 24th Street Southeast, Manorwood, Puyallup, Pierce County, Washington, 98374, United States

    PUYALLUP, WA 983741904

    Phone: (253) 968-0564

    Fax: (253) 968-0567

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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 98433)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1295707420 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Tacoma?
Public fields place Unknown Individual around Tacoma, Washington. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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