Unknown Individual – Student in an Organized Health Care Education/Training Program, NPI 1073587457

Unknown Individual is a healthcare provider. based in Saint paul, Minnesota. specializing in Student in an Organized Health Care Education/Training Program. They hold a License No. 5076 (MN). The NPI Number for Unknown Individual is 1073587457

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073587457
Phone
(651) 638-6473
Address
3900 BETHEL DR
Deactivation Date
16 October 2024
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

  • 3900 BETHEL DR

    SAINT PAUL, MN 551126902

    Phone: (651) 638-6473

    Type: Location

  • 1926, Jerrold Avenue, Arden Hills, Ramsey County, Minnesota, 55112, United States

    ARDEN HILLS, MN 551127906

    Phone: (651) 638-6473

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 55112)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1073587457.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Saint Paul, Minnesota may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

3900 BETHEL DR
NPI: 1457329237

DR. KELLY KOSS BOWLIN (D.O.)

Obstetrics & Gynecology Physician
14000 Fairview Dr
NPI: 1477582880
200 1st St SW
NPI: 1407951494

SHANNON MARIE RISTAU

Student in an Organized Health Care Education/Training Program
2115, Summit Avenue, Saint Paul, Ramsey County, Minnesota, 55105, United States
NPI: 1881764876

THEODORE MCMENOMY (MD)

Critical Care Medicine (Internal Medicine) Physician
1690 UNIVERSITY AVE W STE 370
NPI: 1811036809

JACQUELINE SUZANNE DENISON GETCHIUS (B.A.)

Student in an Organized Health Care Education/Training Program
7320 GALLAGHER DR
NPI: 1093845679

GROUP HEALTH PLAN, INC

Student in an Organized Health Care Education/Training Program
1115 PAUL PKWY NE APT 316
NPI: 1437276086

DR. SUVEER DEEPAK BAGWE (MD)

Clinical Cardiac Electrophysiology Physician
225 SMITH AVE N STE 400
NPI: 1154531952