Proactive Plates LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

PROACTIVE PLATES LLC

Practice address

119 SE 39TH St
Cape Coral, FL 33904-8338

Phone

(239) 284-4906

NPI assigned

Oct 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kelly Nicole Esterline, RDN, LN

Title

Ceo

Phone

(239) 284-4906

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Nicole Derwick, RDN, LN

  • Registered Dietitian
  • Cape Coral, FL
  • NPI 1033715727

  Dietitian, Registered

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1053286740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SE 39TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048338",
            "telephone_number": "239-284-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SE 39TH ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339048338",
            "telephone_number": "239-284-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE PLATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-10",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "ESTERLINE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-284-4906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RDN, LN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Registered Dietitian in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.