Unknown Individual – Gerontology Clinical Nurse Specialist, NPI 1962407395

Unknown Individual is a healthcare provider. based in Tampa, Florida. specializing in Gerontology Clinical Nurse Specialist. They hold a License No. RN9206898 (FL). The NPI Number for Unknown Individual is 1962407395

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962407395
Phone
(813) 928-7577
Address
3103B W EL PRADO BLVD
Deactivation Date
25 September 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

  • 3103, West el Prado Boulevard, Palma Ceia, Tampa, Hillsborough County, Florida, 33629, United States

    TAMPA, FL 336298946

    Phone: (813) 928-7577

    Type: Mailing

  • James A. Haley Veterans' Hospital, 13000, Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33612, United States

    TAMPA, FL 336124745

    Phone: (813) 972-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $134.

Total Amount is formed as General ($134) + Research ($0) + Ownership ($0) = $134.

Last reported payment date: 2023-11-29 • Largest payer in this snapshot: G1 Therapeutics, Inc. ($134).

Total Amount

$134

General + Research + Ownership

Payments

1

Total payment records

General Amount

$134

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
G1 Therapeutics, Inc.$134
View all Open Payments →|Open Payments Risk Radar →

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 33629)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1962407395; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Gerontology Clinical Nurse Specialist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see Tampa, Florida on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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