Unknown Individual – Adult Health Nurse Practitioner, NPI 1386903086

Unknown Individual is a healthcare provider. based in Port orange, Florida. specializing in Adult Health Nurse Practitioner. They hold a License No. 0977412 (FL). The NPI Number for Unknown Individual is 1386903086

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386903086
Phone
(386) 451-2355
Address
6046 WINDING RIDGE LN
Deactivation Date
3 April 2025
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

  • 6046 WINDING RIDGE LN

    PORT ORANGE, FL 321287108

    Phone: (386) 451-2355

    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 32128)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1386903086 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Port Orange, Florida on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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