Unknown Individual – Community/Behavioral Health Agency, NPI 1053509901

Unknown Individual is a healthcare provider. based in Cape girardeau, Missouri. specializing in Community/Behavioral Health Agency. The NPI Number for Unknown Individual is 1053509901

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053509901
Phone
(573) 334-3486
Address
2751 THOMAS DR STE 102
Deactivation Date
30 November 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Thomas Drive, Cape Girardeau, Cape Girardeau County, Missouri, 63701, United States

    CAPE GIRARDEAU, MO 637012131

    Phone: (573) 334-3486

    Fax: (573) 334-3524

    Type: Location

  • 112 S BROADVIEW ST

    CAPE GIRARDEAU, MO 637035759

    Phone: (573) 334-4863

    Fax: (573) 334-3524

    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.

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 63701)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1053509901; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Cape Girardeau, Missouri for Unknown Individual based on available NPPES addresses.
What if Cape Girardeau, Missouri seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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