Unknown Individual – Nurse Practitioner, NPI 1235213653

Unknown Individual is a healthcare provider. based in Katy, Texas. specializing in Nurse Practitioner. They hold a License No. 630877 (TX). The NPI Number for Unknown Individual is 1235213653

Main info

Organization
Inactive
27 Years Of Experience
Name
Unknown Individual
NPI
1235213653
Phone
(346) 387-7171
Address
24275 KATY FWY STE 400
Deactivation Date
16 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7136617888
Graduation Year
1999 (27 years ago)
PAC ID
0345134904
Group Practice PAC ID
6002964285
Professional Enrollment ID
I20040212000880

Contacts

Secure Messaging
office@cma.directbygreenway.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 24275 KATY FWY STE 400

    KATY, TX 774947267

    Phone: (346) 387-7171

    Fax: (844) 703-5305

    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 77494)

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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: 6002964285View full group profile
NameSpecialtyState
Nurse PractitionerTX
Physician AssistantTX
Internal Medicine, Nuclear MedicineFL
Nurse PractitionerGA
Family Practice, Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Addiction Medicine, General PracticeTX
Addiction Medicine, Family Practice, Internal MedicineTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1235213653.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Katy, Texas. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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