Unknown Individual – Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1336134410

Unknown Individual is a healthcare provider. based in Dallas, Texas. specializing in Psychiatric/Mental Health Clinical Nurse Specialist. They hold a License No. 1628 (TX). The NPI Number for Unknown Individual is 1336134410

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336134410
Phone
(972) 241-8697
Address
12247 RIDGEFAIR PL
Deactivation Date
30 April 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 12247, Ridgefair Place, Farmers Branch, Dallas County, Texas, 75234, United States

    DALLAS, TX 752347805

    Phone: (972) 241-8697

    Fax: (972) 241-8697

    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.

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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 75234)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1336134410 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Dallas, 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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