Unknown Individual – Licensed Vocational Nurse, NPI 1083114920

Unknown Individual is a healthcare provider. based in The woodlands, Texas. specializing in Licensed Vocational Nurse. They hold a License No. 328658 (TX). The NPI Number for Unknown Individual is 1083114920

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083114920
Phone
Not provided
Address
69 S WAXBERRY RD
Deactivation Date
29 March 2024
Data current as of
20 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

  • 69, South Waxberry Road, Creekwood, Panther Creek, The Woodlands, Montgomery County, Texas, 77381, United States

    THE WOODLANDS, TX 773813479

    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 77381)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1083114920.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Licensed Vocational Nurse. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display The Woodlands, Texas because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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