Unknown Individual – Emergency Medicine Physician, NPI 1710946652

Unknown Individual is a healthcare provider. based in Reno, Nevada. specializing in Emergency Medicine Physician. They hold a License No. 3549 (NV). The NPI Number for Unknown Individual is 1710946652

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710946652
Phone
Not provided
Address
832 WILLOW ST
Deactivation Date
20 April 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 832, Willow Street, Reno, Washoe County, Nevada, 89502, United States

    RENO, NV 895021304

    Phone:

    Type: Mailing

  • Tahoe Pacific Hospitals – North, 2375, East Prater Way, Sparks, Washoe County, Nevada, 89434, United States

    SPARKS, NV 894349641

    Phone: (775) 982-4100

    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 89502)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1710946652 in the public NPI dataset.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Reno, Nevada in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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