Unknown Individual – Addiction (Substance Use Disorder) Registered Nurse, NPI 1063489763

Unknown Individual is a healthcare provider. based in Tuscaloosa, Alabama. specializing in Addiction (Substance Use Disorder) Registered Nurse. They hold a License No. 1-041722 (AL). The NPI Number for Unknown Individual is 1063489763

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063489763
Phone
(205) 554-2000
Address
3701 LOOP RD
Deactivation Date
6 March 2024
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

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Provider Addresses for Unknown Individual

  • Loop Road, Mayfair, Box Springs, Tuscaloosa, Tuscaloosa County, Alabama, 35404, United States

    TUSCALOOSA, AL 354045015

    Phone: (205) 554-2000

    Fax: (205) 554-2036

    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.

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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 35404)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1063489763 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Addiction (Substance Use Disorder) Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Tuscaloosa, Alabama.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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