Unknown Individual – Adult Health Nurse Practitioner, NPI 1225008477

Unknown Individual is a healthcare provider. based in Bartow, Florida. specializing in Adult Health Nurse Practitioner. They hold a License No. ARNP2075932 (FL). The NPI Number for Unknown Individual is 1225008477

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225008477
Phone
(863) 519-9797
Address
1064 N. BROADWAY AVE
Deactivation Date
11 September 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

  • Broadway Avenue, Bartow, Polk County, Florida, 33830, United States

    BARTOW, FL 33830

    Phone: (863) 519-9797

    Fax: (863) 533-8723

    Mailing address matches the actual address.

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 33830)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1225008477.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Adult Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Bartow?
Unknown Individual currently maps to Bartow, Florida in this extract.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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