Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1457840837

Psychiatric/Mental Health Nurse Practitioner

Unknown Individual is a healthcare provider. based in Palm coast, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. ARNP9218566 (FL). The NPI Number for Unknown Individual is 1457840837

Main info

Organization

Inactive

9 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1457840837

Phone

(386) 793-0273

Address

20 MOODY DR

Deactivation Date

22 July 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9046429100

Graduation Year

2017 (9 years ago)

PAC ID

7012269947

Group Practice PAC ID

2567446982

Professional Enrollment ID

I20181004000376

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

20 MOODY DR
PALM COAST, FL 321372438
Phone: (386) 793-0273
Type: Mailing
West 20th Street, Brentwood, Jacksonville, Duval County, Florida, 32206, United States
JACKSONVILLE, FL 322541703
Phone: (904) 695-9145
Type: Location
11820 Beach Blvd
Jacksonville, FL 322466670
Phone: (904) 642-9100
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 32137)

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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: 2567446982View full group profile

Name	Specialty	State
RENATO R ALCALDE (MD)	P S Y C H I A T R Y	FL
DR. FELIX ALEXANDER SOLEH (APRN, PMHNP-C)	Nurse Practitioner	FL
MIKIANTHA FRANCIS	Nurse Practitioner	FL
DEBABRATA SAHA (MD)	P S Y C H I A T R Y	FL
Unknown Individual	-	FL
BROOKE LEE ALTONAGA (LCSW)	Clinical Social Worker	FL
DR. BENJAMIN LYE (M.D.)	-	FL
DAPHNE T HAYES (ARNP)	Nurse Practitioner	FL
MRS. MARGARET ANNE CURRAN (PMHNP)	Nurse Practitioner	FL
JENNIFER FAIN (APRN, NP-C)	Nurse Practitioner	TN

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?

You can confirm Unknown Individual with NPI 1457840837; it appears in the national provider directory.

How do I interpret inactive records for Unknown Individual?

Treat inactive as a signal to verify Unknown Individual through official channels.

Does Unknown Individual list a primary specialty?

If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Palm Coast, Florida for Unknown Individual; download NPPES for the complete set.

What if Palm Coast, Florida seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.