OrganizationActive
Interactivemd LLC
NPI 1790031300 · Diabetes Educator Registered Nurse · Boca Raton, FL
Provider details
- NPI number
- 1790031300
- Entity type
- Organization
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Parent organization
- Oncall Online LLC
- Organization subpart
- Yes
- Authorized official
- Gary Wald, Chief Operating Officer(888) 657-2560
Specialties & taxonomies
Nursing Service Providers
- Metabolic Nutrition Registered Dietitian133VN1006X
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5300 Broken Sound Blvd Nw
Suite 200
Boca Raton, FL 33487-3520
Phone: (888) 657-2560
Fax: (561) 998-2057
Street-level locationGet directions
Mailing address
5300 Broken Sound Blvd Nw
Boca Raton, FL 33487-3520
Registry dates
- Enumerated
- 2012-08-01
- Last updated
- 2012-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.