Unknown Individual – Adult Psychiatric/Mental Health Registered Nurse, NPI 1053439604

Unknown Individual is a healthcare provider. based in Detroit, Michigan. specializing in Adult Psychiatric/Mental Health Registered Nurse. They hold a License No. 4704111971 (MI). The NPI Number for Unknown Individual is 1053439604

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053439604
Phone
(313) 347-2070
Address
5555 CONNER ST
Deactivation Date
8 February 2023
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

Provider Addresses for Unknown Individual

  • 5555 CONNER ST

    DETROIT, MI 482133448

    Phone: (313) 347-2070

    Fax: (313) 579-1819

    Mailing address matches the actual address.

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 48213)

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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 1053439604.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Adult Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Detroit, Michigan as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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