Unknown Individual – Adult Health Nurse Practitioner, NPI 1255603296

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Adult Health Nurse Practitioner. They hold a License No. APN00437 (NV). The NPI Number for Unknown Individual is 1255603296

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255603296
Phone
(702) 501-4599
Address
4475 LIME STRAIGHT ST
Deactivation Date
18 January 2023
Data current as of
20 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

  • 4475 LIME STRAIGHT ST

    LAS VEGAS, NV 891154218

    Phone: (702) 501-4599

    Type: Mailing

  • 12900 PARK PLAZA DR STE 150

    CERRITOS, CA 907039329

    Phone: (562) 622-2800

    Type: Location

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 89115)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1255603296 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Las Vegas, Nevada for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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