Unknown Individual – Nurse Practitioner, NPI 1841210325

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Nurse Practitioner. They hold a License No. AP30002402 (WA). The NPI Number for Unknown Individual is 1841210325

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841210325
Phone
Not provided
Address
PO BOX 5299
Deactivation Date
3 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2538515121
Graduation Year
1991 (35 years ago)
PAC ID
0648430884
Group Practice PAC ID
2961399266
Professional Enrollment ID
I20120327000360

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
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

  • South Tacoma Post Office, South 56th Street, South Tacoma, Tacoma, Pierce County, Washington, 98409, United States

    MS: 737-2-PHYS

    TACOMA, WA 984150299

    Phone:

    Type: Mailing

  • 5500 OLYMPIC DR

    GIG HARBOR, WA 983351487

    Phone: (253) 858-7444

    Type: Location

  • 4700 Point Fosdick Dr NW

    Gig Harbor, WA 983351706

    Phone: (253) 459-7650

    Type: Location

  • Peninsula Family Medical Center, 4700, Point Fosdick Drive Northwest, Gig Harbor, Pierce County, Washington, 98335, United States

    GIG HARBOR, WA 983351706

    Phone: (253) 459-7650

    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 98415)

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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: 2961399266View full group profile

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1841210325 for Unknown Individual.
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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Tacoma, Washington?
If you are local to Tacoma, Washington, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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