Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1992751028

Unknown Individual is a healthcare provider. based in Longview, Texas. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 507121 (TX). The NPI Number for Unknown Individual is 1992751028

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1992751028
Phone
(903) 655-1313
Address
906 JUDSON RD
Deactivation Date
13 January 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 906, Judson Road, Longview, Gregg County, Texas, 75601, United States

    LONGVIEW, TX 756015113

    Phone: (903) 655-1313

    Fax: (903) 657-6067

    Type: Location

  • Longview Drive, Charlottetown, Queens County, Prince Edward Island, C1E 2L2, Canada

    LONGVIEW, TX 756062527

    Phone: (903) 655-1313

    Fax: (903) 657-6067

    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.

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 75601)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1992751028 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Longview, Texas in the same public data insurers reference.
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.