Unknown Individual – Adult Health Nurse Practitioner, NPI 1285779579

Unknown Individual is a healthcare provider. based in Ft worth, Texas. specializing in Adult Health Nurse Practitioner. They hold a License No. 636728 (TX). The NPI Number for Unknown Individual is 1285779579

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1285779579
Phone
(817) 702-4952
Address
1350 SOUTH MAIN STREET: STE # 3300
Deactivation Date
9 November 2021
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

Provider Addresses for Unknown Individual

  • 1350 SOUTH MAIN STREET: STE # 3300

    JOHN PETER SMITH HOSPITAL: HOSPITAL DISCHARGE CLINIC

    FT WORTH, TX 76104

    Phone: (817) 702-4952

    Fax: (817) 702-4929

    Type: Mailing

  • 1350 S MAIN ST STE 3300

    JOHN PETER SMITH HOSPITAL HOSPITAL DISCHARGE CLINIC

    FT WORTH, TX 761047655

    Phone: (817) 702-4952

    Fax: (817) 702-4929

    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.

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Medicare Enrollment & Revalidation

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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 76104)

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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 1285779579.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Ft Worth, Texas for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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