Unknown Individual – Obstetrics & Gynecology Nurse Practitioner, NPI 1386600732

Unknown Individual is a healthcare provider. based in Las vegas, Nevada. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold a License No. 00464 (NV). The NPI Number for Unknown Individual is 1386600732

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386600732
Phone
(702) 914-6900
Address
8480 S EASTERN AVE
Deactivation Date
20 January 2021
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

  • South Eastern Avenue, Huntridge, Las Vegas, Clark County, Nevada, 89104, United States

    LAS VEGAS, NV 891232821

    Phone: (702) 914-6900

    Fax: (702) 914-6904

    Type: Location

  • 11, Crown Valley Drive, Green Valley South, Green Valley, Henderson, Clark County, Nevada, 89074, United States

    HENDERSON, NV 890741555

    Phone: (702) 269-0282

    Fax: (702) 914-6904

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-05-15 • Largest payer in this snapshot: Abbott Laboratories ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$23
View all Open Payments →|Open Payments Risk Radar →

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 89123)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1386600732 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Obstetrics & Gynecology Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Las Vegas, Nevada in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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