Unknown Individual – Nurse Practitioner, NPI 1194754523

Unknown Individual is a healthcare provider. based in Dade city, Florida. specializing in Nurse Practitioner. They hold a License No. ARNP1217412 (FL). The NPI Number for Unknown Individual is 1194754523

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194754523
Phone
(352) 521-3967
Address
13417 US HIGHWAY 301
Deactivation Date
15 May 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

Provider Addresses for Unknown Individual

  • 13417 US HIGHWAY 301

    DADE CITY, FL 335255446

    Phone: (352) 521-3967

    Fax: (352) 521-4967

    Type: Location

  • 38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States

    ZEPHYRHILLS, FL 335427505

    Phone: (813) 780-1255

    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.

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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 33525)

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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 1194754523.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Dade City, Florida in our summary view.
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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