IndividualActive
Mary Mccormack, RD, LDN
NPI 1104978659 · Registered Dietitian · Fort Myers, FL
Provider details
- NPI number
- 1104978659
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- Yes
- License
- ND86 (FL)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12458 Mcgregor Woods Cir
Fort Myers, FL 33908-2459
Phone: (239) 454-4466
Street-level locationGet directions
Mailing address
12458 Mcgregor Woods Cir
Fort Myers, FL 33908-2459
Registry dates
- Enumerated
- 2007-01-17
- Last updated
- 2008-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.