Unknown Individual – Nurse Practitioner, NPI 1316991763

Unknown Individual is a healthcare provider. based in Westlake, Ohio. specializing in Nurse Practitioner. They hold a License No. NP-06558 (OH). The NPI Number for Unknown Individual is 1316991763

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316991763
Phone
(440) 250-3560
Address
24165 DETROIT RD
Deactivation Date
2 October 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

  • Detroit Road, Westlake, Cuyahoga County, Ohio, 44145, United States

    WESTLAKE, OH 441451516

    Phone: (440) 250-3560

    Type: Location

  • 16601, Shaker Boulevard, Malvern, Shaker Heights, Cuyahoga County, Ohio, 44120, United States

    SHAKER HEIGHTS, OH 441201627

    Phone:

    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.

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 44145)

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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 1316991763.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Westlake, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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