Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1376587097

Unknown Individual is a healthcare provider. based in Portsmouth, Rhode Island. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. PPNS00077 (RI). The NPI Number for Unknown Individual is 1376587097

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376587097
Phone
(401) 683-6161
Address
11 KING CHARLES DR
Deactivation Date
2 March 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

  • 11, King Charles Drive, Portsmouth, Newport County, Rhode Island, 02871, United States

    PORTSMOUTH, RI 028711364

    Phone: (401) 683-6161

    Fax: (401) 683-6113

    Type: Location

  • 57, King Philip Avenue, Barrington, Bristol County, Rhode Island, 02806, United States

    BRISTOL, RI 028095016

    Phone: (401) 253-0241

    Fax: (401) 324-6251

    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 02871)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1376587097 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Portsmouth?
Unknown Individual currently maps to Portsmouth, Rhode Island in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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