Unknown Individual – Nurse Practitioner, NPI 1497817308

Unknown Individual is a healthcare provider. based in Brookline, Massachusetts. specializing in Nurse Practitioner. They hold a License No. 122396 (MA). The NPI Number for Unknown Individual is 1497817308

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497817308
Phone
Not provided
Address
111 CYPRESS ST
Deactivation Date
28 February 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

  • 107;111, Cypress Street, Brookline Village Commercial District, Brookline, Norfolk County, Massachusetts, 02445-7638, United States

    BRIGHAM AND WOMEN'S PHYSICIANS ORGANIZATION

    BROOKLINE, MA 024456002

    Phone:

    Type: Mailing

  • Brigham and Women's Hospital, 75, Francis Street, Roxbury, Boston, Suffolk County, Massachusetts, 02115, United States

    CWN BUILDING RM 540

    BOSTON, MA 021156110

    Phone: (857) 307-0896

    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.

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 02445)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1497817308.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Brookline, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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