Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1679670723

Unknown Individual is a healthcare provider. based in Brentwood, Tennessee. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 0024164986 (VA). The NPI Number for Unknown Individual is 1679670723

Main info

Organization
Inactive
25 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1679670723
Phone
(615) 373-7600
Address
2000 HEALTH PARK DR FL HP2
Deactivation Date
31 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407723400
Graduation Year
2001 (25 years ago)
PAC ID
3971584582
Group Practice PAC ID
6507886231
Professional Enrollment ID
I20040528000721
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

Provider Addresses for Unknown Individual

  • 2000 HEALTH PARK DR FL HP2

    BRENTWOOD, TN 370274525

    Phone: (615) 373-7600

    Type: Mailing

  • 1802 Braeburn Dr

    Salem, VA 241537357

    Phone: (540) 772-3485

    Fax: (540) 772-3486

    Type: Location

  • 130, Braeburn Drive, Winston-Salem, Forsyth County, North Carolina, 27127, United States

    SALEM, VA 24153

    Phone: (540) 444-0460

    Fax: (540) 444-0479

    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 37027)

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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: 6507886231View full group profile
NameSpecialtyState
Nurse PractitionerVA
P S Y C H I A T R YVA
Nurse PractitionerVA
Physician AssistantTN
Physician AssistantVA
-VA
Family PracticeVA
Nurse PractitionerVA
Family PracticeTN
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1679670723 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Tennessee is Unknown Individual registered?
Use Brentwood, Tennessee as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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