Unknown Individual – Neonatal Nurse Practitioner, NPI 1013054618

Unknown Individual is a healthcare provider. based in Melbourne, Florida. specializing in Neonatal Nurse Practitioner. They hold a License No. 1689792 (FL). The NPI Number for Unknown Individual is 1013054618

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013054618
Phone
(321) 434-7243
Address
1350 HICKORY ST
Deactivation Date
5 June 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

  • 1350, Hickory Street, Melbourne, Brevard County, Florida, 32901, United States

    MELBOURNE, FL 329013278

    Phone: (321) 434-7243

    Type: Location

  • 747, Apollo Circle Northeast, Palm Bay, Brevard County, Florida, 32905, United States

    PALM BAY, FL 329055402

    Phone: (321) 537-6033

    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.

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Medicare Enrollment & Revalidation

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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 32901)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1013054618 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Neonatal Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Melbourne, Florida because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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