Unknown Individual – Nurse Practitioner, NPI 1700948015

Unknown Individual is a healthcare provider. based in Parkin, Arkansas. specializing in Nurse Practitioner. They hold a License No. A01066 (AR). The NPI Number for Unknown Individual is 1700948015

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700948015
Phone
(870) 755-2260
Address
1740 CHURCH STREET
Deactivation Date
15 September 2021
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

  • Church Street, Parkin, Cross County, Arkansas, 72373, United States

    PARKIN, AR 72373

    Phone: (870) 755-2260

    Fax: (870) 347-3492

    Type: Location

  • 623, North 9th Street, Augusta, Woodruff County, Arkansas, 72006, United States

    PO BOX 497

    AUGUSTA, AR 72006

    Phone: (870) 347-3300

    Fax: (870) 347-3492

    Type: Mailing

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 72373)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1700948015.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Parkin, Arkansas may find Unknown Individual in results; validate coverage separately.
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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