Unknown Individual – Pediatric Nurse Practitioner, NPI 1679794820

Unknown Individual is a healthcare provider. based in Groton, Massachusetts. specializing in Pediatric Nurse Practitioner. They hold a License No. 207831 (MA). The NPI Number for Unknown Individual is 1679794820

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679794820
Phone
(978) 448-3388
Address
22 HILLSIDE AVE
Deactivation Date
3 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

  • Seven Hills Pediatric Center, 22, Hillside Avenue, Groton, Middlesex County, Massachusetts, 01450, United States

    GROTON, MA 01450

    Phone: (978) 448-3388

    Type: Location

  • 30, Streeter Road, Hubbardston, Worcester County, Massachusetts, 01473, United States

    HUBBARDSTON, MA 01452

    Phone: (978) 928-4498

    Type: Mailing

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 01450)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1679794820 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Groton, Massachusetts for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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