Unknown Individual – Pediatric Nurse Practitioner, NPI 1902801954

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Pediatric Nurse Practitioner. They hold a License No. 441968 (TX). The NPI Number for Unknown Individual is 1902801954

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902801954
Phone
(210) 675-9000
Address
7130 HWY 90 W
Deactivation Date
9 June 2022
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

Provider Addresses for Unknown Individual

  • 7130 HWY 90 W

    SAN ANTONIO, TX 782273515

    Phone: (210) 675-9000

    Fax: (210) 675-9026

    Type: Location

  • Dearborn Drive, Greenfield Village, Schertz, Guadalupe County, Texas, 78154, United States

    SCHERTZ, TX 781541002

    Phone: (210) 659-0804

    Type: Mailing

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.

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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 78227)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1902801954 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Pediatric Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights San Antonio, Texas; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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