Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1972612232

Unknown Individual is a healthcare provider. based in Lake park, Florida. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 1662092 (FL). The NPI Number for Unknown Individual is 1972612232

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972612232
Phone
(561) 845-2708
Address
1408 N KILLIAN DR
Deactivation Date
23 January 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

  • 1408, North Killian Drive, Lake Park, Palm Beach County, Florida, 33403, United States

    SUITE 112

    LAKE PARK, FL 334031962

    Phone: (561) 845-2708

    Fax: (561) 844-4090

    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.

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 33403)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1972612232.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Lake Park?
Public fields place Unknown Individual around Lake Park, Florida. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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