Unknown Individual – Critical Care Neonatal Nurse Practitioner, NPI 1457385403

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Critical Care Neonatal Nurse Practitioner. They hold a License No. 558083 (TX). The NPI Number for Unknown Individual is 1457385403

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457385403
Phone
(210) 541-8281
Address
5414 FREDERICKSBURG RD
Deactivation Date
27 November 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

  • 5414, Holley Oak Lane, Fredericksburg, Spotsylvania County, Virginia, 22407, United States

    SUITE 100

    SAN ANTONIO, TX 782293641

    Phone: (210) 541-8281

    Fax: (210) 541-9123

    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.

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 78229)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1457385403 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Critical Care Neonatal Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to San Antonio, Texas in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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