Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1477563419

Unknown Individual is a healthcare provider. based in Clearwater, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. ARNP9259008 (FL). The NPI Number for Unknown Individual is 1477563419

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477563419
Phone
(727) 479-1897
Address
14041 ICOT BLVD
Deactivation Date
19 December 2024
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

  • Clearwater Ice Arena, 13940, Icot Boulevard, Largo, Pinellas County, Florida, 33760, United States

    CLEARWATER, FL 337603702

    Phone: (727) 479-1897

    Fax: (727) 479-1248

    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 33760)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1477563419.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Psychiatric/Mental Health Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Clearwater, Florida in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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