Unknown Individual – Neonatal Nurse Practitioner, NPI 1356375034

Unknown Individual is a healthcare provider. based in Amarillo, Texas. specializing in Neonatal Nurse Practitioner. They hold a License No. 624928 (TX). The NPI Number for Unknown Individual is 1356375034

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356375034
Phone
(806) 414-9800
Address
1400 WALLACE BLVD
Deactivation Date
6 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1400, Wallace Boulevard, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 791061708

    Phone: (806) 414-9800

    Fax: (806) 354-5689

    Type: Mailing

  • 1400, Coulter Street, Amarillo, Potter County, Texas, 79106, United States

    AMARILLO, TX 79106

    Phone: (806) 414-9800

    Fax: (806) 354-5689

    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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-03-16 • Largest payer in this snapshot: Boston Scientific Corporation ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

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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 79106)

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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 1356375034.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Neonatal Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Amarillo, Texas for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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