Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1982601969

Unknown Individual is a healthcare provider. based in Louisville, Kentucky. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 3858P (KY). The NPI Number for Unknown Individual is 1982601969

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1982601969
Phone
(502) 589-9600
Address
101 W MUHAMMAD ALI BLVD
Deactivation Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5025891100
Graduation Year
2002 (24 years ago)
PAC ID
5890896179
Group Practice PAC ID
1759294424
Professional Enrollment ID
I20070731000461
Data current as of
19 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

  • West Muhammad Ali Boulevard, Louisville, Jefferson County, Kentucky, 40203, United States

    LOUISVILLE, KY 402021423

    Phone: (502) 589-9600

    Fax: (502) 589-8745

    Type: Mailing

  • Crums Lane, Saint Denis, Louisville, Jefferson County, Kentucky, 40216, United States

    LOUISVILLE, KY 402164231

    Phone: (502) 589-8915

    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 40202)

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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: 1759294424View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1982601969 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Louisville, Kentucky because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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