Unknown Individual – Family Nurse Practitioner, NPI 1235252040

Unknown Individual is a healthcare provider. based in Tallassee, Alabama. specializing in Family Nurse Practitioner. They hold a License No. 1-084901 (AL). The NPI Number for Unknown Individual is 1235252040

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1235252040
Phone
(334) 283-4043
Address
2572 S TALLASSEE DR
Deactivation Date
24 March 2023
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

Provider Addresses for Unknown Individual

  • 2572 S TALLASSEE DR

    TALLASSEE, AL 360785365

    Phone: (334) 283-4043

    Type: Mailing

  • 2400 HOSPITAL RD

    TUSKEGEE, AL 360835001

    Phone: (334) 727-0550

    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.

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Medicare Enrollment & Revalidation

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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 36078)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1235252040 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Tallassee, Alabama for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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