Unknown Individual – Advanced Practice Midwife, NPI 1174501258

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Advanced Practice Midwife. They hold a License No. APN00230 (NV). The NPI Number for Unknown Individual is 1174501258

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174501258
Phone
(702) 383-2403
Address
2040 W CHARLESTON BLVD
Deactivation Date
21 October 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

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Provider Addresses for Unknown Individual

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    #200

    LAS VEGAS, NV 891022227

    Phone: (702) 383-2403

    Fax: (702) 671-2333

    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.

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 89102)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1174501258 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Advanced Practice Midwife. Clinical services aligned with this taxonomy classification.
Where in Nevada is Unknown Individual registered?
Use Las Vegas, Nevada as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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