Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1184857880

Unknown Individual is a healthcare provider. based in Homestead, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. ARNP3394092 (FL). The NPI Number for Unknown Individual is 1184857880

Main info

Organization
Inactive
19 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1184857880
Phone
(305) 247-0612
Address
28700 SW 192ND AVE
Deactivation Date
31 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
3052486037
Graduation Year
2007 (19 years ago)
PAC ID
3274673496
Group Practice PAC ID
6507770526
Professional Enrollment ID
I20091221000160
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

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Provider Addresses for Unknown Individual

  • 28700, Southwest 192nd Avenue, Homestead, Miami-Dade County, Florida, 33030, United States

    HOMESTEAD, FL 330307565

    Phone: (305) 247-0612

    Fax: (305) 454-0156

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Indivior Inc. ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$28
View all Open Payments →|Open Payments Risk Radar →

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 33030)

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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: 6507770526View full group profile
NameSpecialtyState
Physician AssistantFL
Family PracticeFL
-FL
P S Y C H I A T R YFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General PracticeFL
-FL
Nurse PractitionerFL
-FL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1184857880 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Homestead, Florida may find Unknown Individual in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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