Unknown Individual – Family Nurse Practitioner, NPI 1336460179

Unknown Individual is a healthcare provider. based in Okeechobee, Florida. specializing in Family Nurse Practitioner. They hold a License No. 175594 (FL). The NPI Number for Unknown Individual is 1336460179

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336460179
Phone
(863) 763-4149
Address
17201 CIVIC ST NE
Deactivation Date
16 October 2024
Data current as of
20 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

  • 17201 CIVIC ST NE

    OKEECHOBEE, FL 349742729

    Phone: (863) 763-4149

    Fax: (863) 763-6287

    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 34974)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1336460179 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Okeechobee?
Public fields place Unknown Individual around Okeechobee, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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