Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1053453324

Unknown Individual is a healthcare provider. based in Worcester, Massachusetts. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 146293 (MA). The NPI Number for Unknown Individual is 1053453324

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053453324
Phone
Not provided
Address
30 WACONAH RD
Deactivation Date
9 May 2022
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

Provider Addresses for Unknown Individual

  • 30 WACONAH RD

    WORCESTER, MA 016091726

    Phone:

    Type: Mailing

  • 42 HEMINGWAY DR

    RIVERSIDE, RI 029152224

    Phone: (401) 490-2130

    Fax: (401) 490-2141

    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.

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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 01609)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1053453324.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Worcester, Massachusetts in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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