Unknown Individual – Family Nurse Practitioner, NPI 1124173547

Unknown Individual is a healthcare provider. based in Yellow springs, Ohio. specializing in Family Nurse Practitioner. They hold a License No. COA08503-NP (OH). The NPI Number for Unknown Individual is 1124173547

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124173547
Phone
(937) 767-7291
Address
888 DAYTON ST
Deactivation Date
4 December 2025
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

  • 888, Dayton Street, Yellow Springs Historic District, Yellow Springs, Greene County, Ohio, 45387, United States

    SUITE 200

    YELLOW SPRINGS, OH 453871777

    Phone: (937) 767-7291

    Fax: (937) 767-1302

    Type: Location

  • 3836, Sable Ridge Drive, Bellbrook, Greene County, Ohio, 45305, United States

    BELLBROOK, OH 453058725

    Phone: (937) 848-2458

    Type: Mailing

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.

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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.

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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 45387)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1124173547.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Yellow Springs, Ohio?
If you are local to Yellow Springs, Ohio, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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