Unknown Individual – Psychiatric/Mental Health Registered Nurse, NPI 1063581163

Unknown Individual is a healthcare provider. based in Slc, Utah. specializing in Psychiatric/Mental Health Registered Nurse. They hold a License No. 1869193102 (UT). The NPI Number for Unknown Individual is 1063581163

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063581163
Phone
(801) 467-6200
Address
3420 E MILLCREEK RD
Deactivation Date
24 May 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

  • East Millcreek Road, Hamilton County, Indiana, 46034, United States

    SLC, UT 841094106

    Phone: (801) 467-6200

    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 84109)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1063581163 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?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 services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Slc, Utah?
If you are local to Slc, Utah, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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