Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1336209105

Unknown Individual is a healthcare provider. based in Galveston, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 225578 (TX). The NPI Number for Unknown Individual is 1336209105

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336209105
Phone
(409) 772-0848
Address
400 HARBORSIDE DR
Deactivation Date
4 December 2025
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

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Provider Addresses for Unknown Individual

  • 400, Harborside Drive, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775550001

    Phone: (409) 772-0848

    Fax: (409) 772-0885

    Type: Mailing

  • 301, University Boulevard - 6th Street, Galveston, Galveston County, Texas, 77550, United States

    GALVESTON, TX 775551022

    Phone: (409) 772-0848

    Fax: (409) 772-0885

    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.

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 77555)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1336209105.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Galveston, Texas as the reference point for Unknown Individual, then confirm.
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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