Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1356454490

Unknown Individual is a healthcare provider. based in Gladstone, Missouri. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 102672 (MO). The NPI Number for Unknown Individual is 1356454490

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356454490
Phone
(816) 453-7473
Address
305 NW ENGLEWOOD CT
Deactivation Date
30 January 2025
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

  • 305, Northwest Englewood Court, Gladstone, Clay County, Missouri, 64118, United States

    SUITE 300

    GLADSTONE, MO 641184072

    Phone: (816) 453-7473

    Fax: (816) 453-1940

    Type: Location

  • Leawood Post Office, West 95th Street, Leawood, Johnson County, Kansas, 66219, United States

    LEAWOOD, KS 662060765

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2023-03-01 • Largest payer in this snapshot: ABBVIE INC. ($49).

Total Amount

$107

General + Research + Ownership

Payments

5

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-01

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 64118)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1356454490 — the number used across U.S. healthcare to identify this provider.
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 Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Gladstone?
Unknown Individual currently maps to Gladstone, Missouri in this extract.
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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