Unknown Individual – Nurse Practitioner, NPI 1609871714

Unknown Individual is a healthcare provider. based in Salem, Ohio. specializing in Nurse Practitioner. They hold a License No. NP04783 (OH). The NPI Number for Unknown Individual is 1609871714

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609871714
Phone
(330) 480-2199
Address
1995 E STATE ST
Deactivation Date
26 June 2024
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

  • Salem Regional Medical Center, 1995, East State Street, Salem, Columbiana County, Ohio, 44460, United States

    SALEM, OH 444602423

    Phone: (330) 480-2199

    Fax: (330) 480-2071

    Type: Location

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636988

    Phone: (888) 940-2722

    Fax: (513) 632-8898

    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 44460)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1609871714 when you need to reference Unknown Individual in forms, claims, or directories.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Salem, Ohio for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1609871714. Always confirm identity and privileges with the practice and licensing boards.

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