Unknown Individual – Case Management Registered Nurse, NPI 1629032677

Unknown Individual is a healthcare provider. based in Salt lake city, Utah. specializing in Case Management Registered Nurse. They hold a License No. 212236-3102 (UT). The NPI Number for Unknown Individual is 1629032677

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629032677
Phone
(801) 273-6354
Address
4460 HIGHLAND DR
Deactivation Date
26 June 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

  • Highland Drive, Holladay, Salt Lake County, Utah, 84122, United States

    300

    SALT LAKE CITY, UT 841243543

    Phone: (801) 273-6354

    Fax: (801) 273-6363

    Type: Location

  • 8850 South, Hooser Mobile Home Park, Sandy, Salt Lake County, Utah, 84070, United States

    SANDY, UT 840933706

    Phone: (801) 255-8271

    Fax: (801) 273-6363

    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 84124)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1629032677 when you need to reference Unknown Individual in forms, claims, or directories.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Case Management Registered Nurse. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Utah?
You will see Salt Lake City, Utah on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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