Unknown Individual – Adult Health Nurse Practitioner, NPI 1730460874

Unknown Individual is a healthcare provider. based in Stafford, Virginia. specializing in Adult Health Nurse Practitioner. They hold a License No. 0024169598 (VA). The NPI Number for Unknown Individual is 1730460874

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1730460874
Phone
(540) 288-2222
Address
9 CENTER ST
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5402882222
Graduation Year
2011 (15 years ago)
PAC ID
6507038973
Group Practice PAC ID
5799019113
Professional Enrollment ID
I20111006000398
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

Provider Addresses for Unknown Individual

  • 9 CENTER ST

    STE 101

    STAFFORD, VA 225568910

    Phone: (540) 288-2222

    Fax: (540) 288-1155

    Type: Mailing

  • 300 PARK HILL DR

    FREDERICKSBURG, VA 224013387

    Phone: (540) 361-7641

    Fax: (540) 361-1246

    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 22556)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1730460874 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Stafford, Virginia as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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