Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1013284918

Unknown Individual is a healthcare provider. based in Carbondale, Illinois. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 16297 (TN). The NPI Number for Unknown Individual is 1013284918

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1013284918
Phone
(615) 477-3078
Address
514 N BEADLE DR APT 1
Deactivation Date
11 June 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 514 N BEADLE DR APT 1

    CARBONDALE, IL 629011167

    Phone: (615) 477-3078

    Type: Mailing

  • 640 W WASHINGTON ST

    PITTSFIELD, IL 623631350

    Phone: (217) 285-2113

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 62901)

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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 1013284918; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Carbondale, Illinois on file for Unknown Individual alongside any extra practice locations.
What if Carbondale, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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