OrganizationActive
Lake Diabetes Supply, Inc
NPI 1568763696 · Health Educator · Melbourne, FL
Lake Diabetes Supply, Inc is a Health Educator organization in Melbourne, FL (NPI 1568763696).
Provider details
- NPI number
- 1568763696
- Entity type
- Organization
- Primary specialty
- Health EducatorOther Service Providers
- Organization subpart
- No
- Authorized official
- Michael Hennessy, President(321) 255-9800
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
508 N Harbor City Blvd
Melbourne, FL 32935-6838
Phone: (321) 255-9800
Fax: (321) 751-1145
Street-level locationGet directions
Mailing address
508 N Harbor City Blvd
Melbourne, FL 32935-6838
Registry dates
- Enumerated
- 2010-11-05
- Last updated
- 2010-11-05
Frequently asked questions
- What is Lake Diabetes Supply, Inc's NPI number?
- Lake Diabetes Supply, Inc's National Provider Identifier (NPI) is 1568763696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Diabetes Supply, Inc?
- Lake Diabetes Supply, Inc is classified in the NPPES registry as Health Educator (Other Service Providers).
- Where is Lake Diabetes Supply, Inc located?
- Lake Diabetes Supply, Inc's practice location on file with NPPES is 508 N Harbor City Blvd, Melbourne, FL 32935-6838.
- What is Lake Diabetes Supply, Inc's phone number?
- The practice phone number listed in the NPPES registry for Lake Diabetes Supply, Inc is (321) 255-9800.
- Who is the authorized official for Lake Diabetes Supply, Inc?
- The authorized official listed on Lake Diabetes Supply, Inc's NPPES record is Michael Hennessy, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Diabetes Supply, Inc's NPI active?
- Yes — Lake Diabetes Supply, Inc's NPI (1568763696) is active in the NPPES registry as of the last update on 2010-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.