Unknown Individual – Gerontology Nurse Practitioner, NPI 1922013788

Unknown Individual is a healthcare provider. based in Providence, Rhode Island. specializing in Gerontology Nurse Practitioner. They hold a License No. NPP33120 (RI). The NPI Number for Unknown Individual is 1922013788

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922013788
Phone
(401) 454-0393
Address
57 SUNBURY ST
Deactivation Date
29 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 57, Sunbury Street, Wanskuck, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029081533

    Phone: (401) 454-0393

    Type: Mailing

  • Providence VA Medical Center,, 830, Chalkstone Avenue, Manton, Providence, Providence County, Rhode Island, 02908, United States

    PROVIDENCE, RI 029084734

    Phone: (401) 273-7100

    Fax: (401) 525-2549

    Type: Location

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 02908)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1922013788 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Rhode Island?
You will see Providence, Rhode Island on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1922013788. Always confirm identity and privileges with the practice and licensing boards.