Unknown Individual – Nurse Practitioner, NPI 1922097658

Unknown Individual is a healthcare provider. based in Ft lauderdale, Florida. specializing in Nurse Practitioner. They hold a License No. ARNP1879002 (FL). The NPI Number for Unknown Individual is 1922097658

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922097658
Phone
(954) 776-4223
Address
2128 NE 62ND ST
Deactivation Date
20 November 2025
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

  • Northeast 62nd Street, Fort Lauderdale, Broward County, Florida, 33334, United States

    FT LAUDERDALE, FL 333082163

    Phone: (954) 776-4223

    Type: Mailing

  • East Sample Road, North Pompano Beach, Pompano Beach, Broward County, Florida, 33064, United States

    POMPANO BEACH, FL 330643502

    Phone: (954) 786-6800

    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 33308)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1922097658.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Ft Lauderdale, Florida because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1922097658. Always confirm identity and privileges with the practice and licensing boards.

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