Unknown Individual – Registered Nurse, NPI 1477005668

Unknown Individual is a healthcare provider. based in Abilene, Texas. specializing in Registered Nurse. They hold a License No. RN280372 (GA). The NPI Number for Unknown Individual is 1477005668

Main info

Organization
Inactive
10 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1477005668
Phone
(325) 670-2788
Address
1900 Pine St
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006552656
Graduation Year
2016 (10 years ago)
PAC ID
8820374242
Group Practice PAC ID
7517290109
Professional Enrollment ID
I20190611002738

Contacts

Secure Messaging
cdehoux851521@direct.UNC.nchie.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:0State licenses:6Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1900 Pine St

    Abilene, TX 796012432

    Phone: (325) 670-2788

    Type: Location

  • PO BOX 641057

    PITTSBURGH, PA 152641057

    Phone: (800) 655-2656

    Fax: (412) 822-7411

    Type: Mailing

  • 100 Sentara Cir

    Williamsburg, VA 231885713

    Phone: (804) 854-4088

    Type: Location

  • 1200 Memorial Dr

    Dalton, GA 307202529

    Phone: (800) 655-2656

    Fax: (412) 822-7411

    Type: Location

  • Hendrick Medical Center, 1900, Pine Street, Abilene, Taylor County, Texas, 79601, United States

    ABILENE, TX 796012432

    Phone: (325) 670-2788

    Type: Location

  • 101 MANNING DR

    CHAPEL HILL, NC 275144220

    Phone: (984) 974-1000

    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 79601)

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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: 7517290109View full group profile
NameSpecialtyState
Emergency MedicinePA
Physician AssistantOK
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Pulmonary Disease, Critical Care (Intensivists), Internal Medicine, Sleep MedicineTX
Internal MedicineTX
Physician AssistantTX
Nurse PractitionerTX
Internal Medicine, Infectious Disease, Pulmonary Disease, Critical Care (Intensivists)TX

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1477005668.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Registered Nurse. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Abilene, Texas. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.