Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1154313872

Unknown Individual is a healthcare provider. based in Lexington, Kentucky. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 350A (KY). The NPI Number for Unknown Individual is 1154313872

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154313872
Phone
(859) 268-1030
Address
3320 TATES CREEK RD
Deactivation Date
28 January 2022
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

  • 3320, Tates Creek Road, Lansdowne, Lexington, Fayette County, Kentucky, 40502:40517, United States

    SUITE 204

    LEXINGTON, KY 405023400

    Phone: (859) 268-1030

    Fax: (859) 269-4120

    Type: Mailing

  • Hardin Lane, Somerset, Pulaski County, Kentucky, 42503, United States

    SOMERSET, KY 425033818

    Phone: (606) 678-3288

    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

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 40502)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1154313872 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Lexington, Kentucky for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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