Unknown Individual – Family Nurse Practitioner, NPI 1508916347

Unknown Individual is a healthcare provider. based in Southwick, Massachusetts. specializing in Family Nurse Practitioner. They hold a License No. R56484 (CT). The NPI Number for Unknown Individual is 1508916347

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508916347
Phone
(413) 569-4016
Address
8 LOGIE LN
Deactivation Date
6 November 2025
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

  • 8, Logie Lane, Southwick, Hampden County, Massachusetts, United States

    SOUTHWICK, MA 010779419

    Phone: (413) 569-4016

    Type: Mailing

  • Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States

    HARTFORD, CT 061028000

    Phone: (860) 545-5000

    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 01077)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1508916347.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is Unknown Individual registered?
Use Southwick, Massachusetts as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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