Unknown Individual – Psychiatric/Mental Health Registered Nurse, NPI 1003881996

Unknown Individual is a healthcare provider. based in Wichita, Kansas. specializing in Psychiatric/Mental Health Registered Nurse. They hold a License No. 1346573022 (KS). The NPI Number for Unknown Individual is 1003881996

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003881996
Phone
(316) 440-4060
Address
2808 E CENTRAL
Deactivation Date
20 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Central Christian Church, East 29th Street North, Wichita, Sedgwick County, Kansas, 67220, United States

    WICHITA, KS 67214

    Phone: (316) 440-4060

    Fax: (316) 440-4058

    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 67214)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1003881996 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Wichita, Kansas for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.