Unknown Individual – Neonatal Nurse Practitioner, NPI 1962585612

Unknown Individual is a healthcare provider. based in St petersburg, Florida. specializing in Neonatal Nurse Practitioner. They hold a License No. 1423422 (FL). The NPI Number for Unknown Individual is 1962585612

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962585612
Phone
(727) 381-0040
Address
1135 79TH ST S
Deactivation Date
13 May 2021
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

  • 1135, 79th Street South, Yacht Club Estates, Saint Petersburg, Pinellas County, Florida, 33707, United States

    ST PETERSBURG, FL 337072716

    Phone: (727) 381-0040

    Type: Mailing

  • McMullen Booth Road, Clearwater, Pinellas County, Florida, 33759, United States

    MEASE COUNTRYSIDE HOSPITAL

    CLEARWATER, FL 33761

    Phone: (727) 725-6753

    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 33707)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1962585612 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Neonatal Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Florida?
You will see St Petersburg, Florida on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1962585612. Always confirm identity and privileges with the practice and licensing boards.

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