Unknown Individual – Advanced Practice Midwife, NPI 1205825403

Unknown Individual is a healthcare provider. based in Fairbanks, Alaska. specializing in Advanced Practice Midwife. They hold a License No. 209-004258 (IL). The NPI Number for Unknown Individual is 1205825403

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205825403
Phone
(254) 291-7549
Address
428 LIGNITE AVE
Deactivation Date
2 October 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

Provider Addresses for Unknown Individual

  • 428, Lignite Avenue, Hamilton Acres, Fairbanks, Fairbanks North Star Borough, Alaska, 99701, United States

    FAIRBANKS, AK 997013741

    Phone: (254) 291-7549

    Type: Mailing

  • 1060 GAFFENY ROAD

    BASSETT ARMY HOSPITAL

    FT WAINWRIGHT, AK 99703

    Phone: (907) 361-5353

    Fax: (907) 361-4809

    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 99701)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1205825403 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Fairbanks, Alaska as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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