Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1700875408

Unknown Individual is a healthcare provider. based in Weatherford, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 229113 (TX). The NPI Number for Unknown Individual is 1700875408

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700875408
Phone
(830) 734-6992
Address
106 TIMAARON CT
Deactivation Date
12 May 2021
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

  • 106, Timaaron Court, Wampler, Weatherford, Parker County, Texas, 76085, United States

    WEATHERFORD, TX 760853025

    Phone: (830) 734-6992

    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.

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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 76085)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1700875408 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Certified Registered Nurse Anesthetist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Texas?
You will see Weatherford, Texas on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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