Unknown Individual – Community Health Worker, NPI 1255508396

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Community Health Worker. The NPI Number for Unknown Individual is 1255508396

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255508396
Phone
(904) 720-0440
Address
8247 VIRGO ST
Deactivation Date
9 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8247, Virgo Street, Century Point Villas, Holiday Hill, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322161531

    Phone: (904) 720-0440

    Fax: (904) 720-0440

    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.

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 32216)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1255508396 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Community Health Worker. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Jacksonville, Florida for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1255508396. Always confirm identity and privileges with the practice and licensing boards.

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