Unknown Individual – Family Nurse Practitioner, NPI 1174814289

Unknown Individual is a healthcare provider. based in Visalia, California. specializing in Family Nurse Practitioner. They hold a License No. AP127415 (TX). The NPI Number for Unknown Individual is 1174814289

Main info

Organization
Inactive
12 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1174814289
Phone
(559) 737-4700
Address
305 E CENTER AVE
Deactivation Date
2 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9516522811
Graduation Year
2014 (12 years ago)
PAC ID
7517129687
Group Practice PAC ID
4688844277
Professional Enrollment ID
I20170810003810
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 305 E CENTER AVE

    VISALIA, CA 932916331

    Phone: (559) 737-4700

    Fax: (559) 734-1247

    Type: Mailing

  • 263 S WEST ST

    TULARE, CA 932743411

    Phone: (877) 960-3426

    Fax: (559) 741-8414

    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.

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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 93291)

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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: 4688844277View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1174814289 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is Unknown Individual registered?
Use Visalia, California as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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