Unknown Individual – Family Nurse Practitioner, NPI 1720137516

Unknown Individual is a healthcare provider. based in Waltham, Massachusetts. specializing in Family Nurse Practitioner. They hold a License No. 217977 (MA). The NPI Number for Unknown Individual is 1720137516

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720137516
Phone
(781) 472-8605
Address
950 WINTER ST
Deactivation Date
22 January 2026
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

  • 950, Winter Street, Prospectville, Waltham, Middlesex County, Massachusetts, 02451, United States

    SUITE 3800

    WALTHAM, MA 024511424

    Phone: (781) 472-8605

    Type: Location

  • 132, Clinton Street, Hopkinton, Middlesex County, Massachusetts, 01721, United States

    HOPKINTON, MA 017482602

    Phone: (508) 435-6483

    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.

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.

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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 02451)

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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 1720137516.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Waltham?
Public fields place Unknown Individual around Waltham, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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