Unknown Individual – Nurse Practitioner, NPI 1336625847

Unknown Individual is a healthcare provider. based in Miami springs, Florida. specializing in Nurse Practitioner. They hold a License No. 9457911 (FL). The NPI Number for Unknown Individual is 1336625847

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336625847
Phone
(305) 335-9613
Address
1225 RAVEN AVE
Deactivation Date
19 June 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

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Provider Addresses for Unknown Individual

  • 1225, Raven Avenue, Miami Springs, Miami-Dade County, Florida, 33166, United States

    MIAMI SPRINGS, FL 331663840

    Phone: (305) 335-9613

    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 33166)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1336625847 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Miami Springs?
Public fields place Unknown Individual around Miami Springs, Florida. Always confirm the exact site before visiting.
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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