Unknown Individual – Licensed Practical Nurse, NPI 1780887802

Unknown Individual is a healthcare provider. based in Shaker heights, Ohio. specializing in Licensed Practical Nurse. They hold a License No. PN33407 (OH). The NPI Number for Unknown Individual is 1780887802

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1780887802
Phone
Not provided
Address
18027 CHAGRIN BLVD
Deactivation Date
21 April 2021
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

  • 18027, Chagrin Boulevard, Shaker Heights, Cuyahoga County, Ohio, 44122, United States

    SHAKER HEIGHTS, OH 441224842

    Phone:

    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 44122)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1780887802.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Shaker Heights?
Public fields place Unknown Individual around Shaker Heights, Ohio. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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