Unknown Individual – Family Nurse Practitioner, NPI 1447713458

Unknown Individual is a healthcare provider. based in Yuma, Arizona. specializing in Family Nurse Practitioner. They hold a License No. 228464 (AZ). The NPI Number for Unknown Individual is 1447713458

Main info

Organization
Inactive
8 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1447713458
Phone
(928) 247-6516
Address
PO BOX 669
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9283426500
Graduation Year
2018 (8 years ago)
PAC ID
8325377070
Group Practice PAC ID
2062780018
Professional Enrollment ID
I20190905003547
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 669

    YUMA, AZ 853662329

    Phone: (928) 247-6516

    Fax: (928) 366-1075

    Type: Mailing

  • 2714 S Virginia Dr Apt 43

    Yuma, AZ 853647228

    Phone: (305) 726-3578

    Type: Location

  • 11468 N Frontage Rd Ste A1

    Yuma, AZ 853678970

    Phone: (928) 342-6500

    Type: Location

  • North Frontage Road, Yuma, Yuma County, Arizona, 85365, United States

    YUMA, AZ 853678970

    Phone: (928) 342-6500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85366)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062780018View full group profile
NameSpecialtyState
MRS. TEKOYA MOSELINE CALIXTE (NP-C)
-AZ
OHOUD ALGHURAIBI (DPM)
-AZ
Unknown Individual
-AZ

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1447713458 for Unknown Individual, then check state licensing separately.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Yuma, Arizona in our summary view.
Why does Unknown Individual have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.