Unknown Individual – Family Nurse Practitioner, NPI 1740215524

Unknown Individual is a healthcare provider. based in South burlington, Vermont. specializing in Family Nurse Practitioner. They hold a License No. 101-6963 (VT). The NPI Number for Unknown Individual is 1740215524

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740215524
Phone
Not provided
Address
80 CENTRAL AVE
Deactivation Date
26 February 2026
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

  • 80, Central Avenue, Queen City Park, South Burlington, Chittenden County, Vermont, 05401, United States

    SOUTH BURLINGTON, VT 054036944

    Phone:

    Type: Mailing

  • UVMMC DU Campus Arnold Pavilion, 1, South Prospect Street, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054013456

    Phone: (802) 847-4531

    Type: Location

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 05403)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1740215524.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights South Burlington, Vermont; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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