Unknown Individual – Adult Health Nurse Practitioner, NPI 1730110271

Unknown Individual is a healthcare provider. based in St augustine, Florida. specializing in Adult Health Nurse Practitioner. They hold a License No. ARNP460992 (FL). The NPI Number for Unknown Individual is 1730110271

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1730110271
Phone
(904) 794-9888
Address
272 BRANTLEY HARBOR DR
Deactivation Date
21 June 2023
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

  • 272 BRANTLEY HARBOR DR

    ST AUGUSTINE, FL 320861822

    Phone: (904) 794-9888

    Type: Mailing

  • Crestwood Nursing Center, 501, South Palm Avenue, Palatka, Putnam County, Florida, 32177, United States

    CRESTWOOD NURSING CENTER

    PALATKA, FL 321774147

    Phone: (386) 325-1531

    Type: Location

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 32086)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1730110271.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near St Augustine, Florida may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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