Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PROACTIVE PLATES LLC
NPI 1053286740
Dietitian, Registered in Cape Coral, FL

Q: What is Proactive Plates LLC's NPI number?

The NPI number for Proactive Plates LLC is 1053286740. It was assigned to this organization in the NPPES registry on October 10, 2025.

Q: What is Proactive Plates LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Active since October 10, 2025

1322 SE 46TH LN STE 201, CAPE CORAL, FL 33904(239) 284-4906 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 16, 2026, Oct 10, 2025 (2 updates tracked since 2025).

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About Proactive Plates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE PLATES LLC (NPI 1053286740) is a healthcare organization registered as a dietitian, registered in Cape Coral, Florida and active in the NPI registry since October 2025. The organization lists Kelly Nicole Derwick, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053286740

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NamePROACTIVE PLATES LLC

Location Address1322 SE 46TH LN STE 201Cape Coral, FL 33904-8642

Mailing Address119 Se 39th StCape Coral, FL 33904-8338 · (239) 284-4906

Phone(239) 284-4906

Organization SubpartNo

Authorized OfficialKelly Nicole DerwickCeo · (239) 284-4906

Enumeration DateOctober 10, 2025

Last NPPES UpdateSeptember 16, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2026

✔ NPI 1053286740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

1322 SE 46TH LN STE 201, Cape Coral, FL 33904

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE A RILEY LCSW

Social Worker (Clinical)

1322 SE 46TH LN STE 201
CAPE CORAL, FL 33904

Lee County (845) 527-0110

ERIN WILLIAMS MA,RMHCI

Counselor (Mental Health)

1322 SE 46TH LN STE 201
CAPE CORAL, FL 33904

Lee County (941) 500-4338

RILEY COUNSELING & BEHAVIORAL HEALTH SERVICES INC

Clinic/Center (Adult Mental Health)

1322 SE 46TH LN STE 201
CAPE CORAL, FL 33904

Lee County (845) 595-4775

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Plates LLC's NPI number?

The NPI number for Proactive Plates LLC is 1053286740. It was assigned to this organization in the NPPES registry on October 10, 2025.

Where is Proactive Plates LLC located?

Proactive Plates LLC is located at 1322 SE 46th Ln Ste 201, Cape Coral, FL 33904. The listed phone number is (239) 284-4906.

What is Proactive Plates LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Proactive Plates LLC was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.