Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1790749497

Unknown Individual is a healthcare provider. based in Montgomery, Alabama. specializing in Certified Registered Nurse Anesthetist. They hold a License No. RN0251566 (GA). The NPI Number for Unknown Individual is 1790749497

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790749497
Phone
(334) 279-1450
Address
PO BOX 235019
Deactivation Date
24 April 2025
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

  • Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States

    MONTGOMERY, AL 361235019

    Phone: (334) 279-1450

    Fax: (334) 279-1660

    Type: Mailing

  • Houston Medical Center, 1601, Watson Boulevard, Warner Robins, Houston County, Georgia, 31093, United States

    WARNER ROBINS, GA 310933431

    Phone: (478) 329-0051

    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

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 36123)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1790749497 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Montgomery, Alabama in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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Unknown Individual

Certified Registered Nurse Anesthetist
Box Turtle, Grogan's Mill, The Woodlands, Montgomery County, Texas, United States
NPI: 1336129337