Unknown Individual – Gerontology Nurse Practitioner, NPI 1114145166

Unknown Individual is a healthcare provider. based in Plano, Texas. specializing in Gerontology Nurse Practitioner. They hold a License No. 243509 (TX). The NPI Number for Unknown Individual is 1114145166

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114145166
Phone
(972) 758-6000
Address
4708 ALLIANCE BLVD
Deactivation Date
5 June 2024
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

Provider Addresses for Unknown Individual

  • 4708 ALLIANCE BLVD

    SUITE 300

    PLANO, TX 750935340

    Phone: (972) 758-6000

    Fax: (972) 758-6001

    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 75093)

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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 1114145166 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Plano?
Public fields place Unknown Individual around Plano, Texas. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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