Unknown Individual – Family Nurse Practitioner, NPI 1639142383

Unknown Individual is a healthcare provider. based in Lubbock, Texas. specializing in Family Nurse Practitioner. They hold a License No. 450977 (TX). The NPI Number for Unknown Individual is 1639142383

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639142383
Phone
(806) 765-2611
Address
1313 BROADWAY ST
Deactivation Date
11 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

  • Broadway Street, Mackenzie Park, Lubbock, Texas, 79401, United States

    SUITE 5

    LUBBOCK, TX 794013277

    Phone: (806) 765-2611

    Type: Mailing

  • 2301, Cedar Avenue, Chatman Hill, Lubbock, Lubbock County, Texas, 79404, United States

    LUBBOCK, TX 794041629

    Phone: (806) 749-0024

    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 $57.

Total Amount is formed as General ($57) + Research ($0) + Ownership ($0) = $57.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Boston Scientific Corporation ($57).

Total Amount

$57

General + Research + Ownership

Payments

1

Total payment records

General Amount

$57

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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 79401)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1639142383 is assigned to Unknown Individual under the national enumeration system.
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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Lubbock, Texas on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1639142383. Always confirm identity and privileges with the practice and licensing boards.

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