Unknown Individual – Nurse Practitioner, NPI 1437615002

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Nurse Practitioner. They hold a License No. APRN9279553 (FL). The NPI Number for Unknown Individual is 1437615002

Main info

Organization
Inactive
9 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437615002
Phone
(734) 945-8706
Address
301 HARBOUR PLACE DR UNIT 2007
Deactivation Date
19 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139070123
Graduation Year
2017 (9 years ago)
PAC ID
5597094151
Group Practice PAC ID
9133307788
Professional Enrollment ID
I20190906000835
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

  • 301 HARBOUR PLACE DR UNIT 2007

    TAMPA, FL 336026808

    Phone: (734) 945-8706

    Fax: (813) 964-6337

    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)

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 33602)

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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: 9133307788View full group profile
NameSpecialtyState
Internal MedicinePR
Internal MedicineFL
Hospitalist, Internal MedicineFL
Family Practice, Hospice/Palliative CareFL
Internal MedicineFL
Nurse PractitionerFL
-OH
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineCT

Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1437615002 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Tampa, Florida.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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