Unknown Individual – Licensed Practical Nurse, NPI 1104855071

Unknown Individual is a healthcare provider. based in Akron, Ohio. specializing in Licensed Practical Nurse. They hold a License No. PN.087499-IV (OH). The NPI Number for Unknown Individual is 1104855071

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104855071
Phone
(330) 762-4753
Address
939 CHALKER ST
Deactivation Date
9 May 2022
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

  • 939, Chalker Street, Temple Square, Akron, Summit County, Ohio, 44310, United States

    AKRON, OH 443102157

    Phone: (330) 762-4753

    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 44310)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1104855071.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Akron, Ohio because that is what the record indicates for Unknown Individual.
What if Akron, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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