Unknown Individual – Clinical Nurse Specialist, NPI 1548267933

Unknown Individual is a healthcare provider. based in Fort worth, Texas. specializing in Clinical Nurse Specialist. They hold a License No. 423974 (TX). The NPI Number for Unknown Individual is 1548267933

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548267933
Phone
(817) 732-8441
Address
3704 MATTISON AVE
Deactivation Date
12 July 2023
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

  • 3704, Mattison Avenue, Fort Worth, Tarrant County, Texas, 76107, United States

    FORT WORTH, TX 761072619

    Phone: (817) 732-8441

    Fax: (817) 732-1833

    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 76107)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1548267933.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Fort Worth, Texas?
For routing, start with Fort Worth, Texas for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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