Unknown Individual – Adult Health Nurse Practitioner, NPI 1205171097

Unknown Individual is a healthcare provider. based in Irving, Texas. specializing in Adult Health Nurse Practitioner. They hold a License No. 834164 (TX). The NPI Number for Unknown Individual is 1205171097

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205171097
Phone
(844) 388-6541
Address
2801 Gateway Dr Ste 100
Deactivation Date
31 July 2025
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

Provider Addresses for Unknown Individual

  • 2801 Gateway Dr Ste 100

    Irving, TX 750632694

    Phone: (844) 388-6541

    Type: Location

  • 927 RAGLAND DR

    CEDAR HILL, TX 751049266

    Phone: (469) 454-6496

    Type: Mailing

  • 2801 GATEWAY DR STE 100

    IRVING, TX 750632694

    Phone: (844) 388-6541

    Type: Mailing

  • 6363 N STATE HIGHWAY 161 STE 100

    IRVING, TX 750382239

    Phone: (469) 200-3272

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$21
View all Open Payments →|Open Payments Risk Radar →

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 75063)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1205171097 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Irving, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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