Unknown Individual – Community Health Nurse Practitioner, NPI 1194701177

Unknown Individual is a healthcare provider. based in Amelia, Virginia. specializing in Community Health Nurse Practitioner. They hold a License No. 0024052645 (VA). The NPI Number for Unknown Individual is 1194701177

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194701177
Phone
(804) 561-5150
Address
8920 OTTERBRUN ROAD
Deactivation Date
28 December 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

  • 8920 OTTERBRUN ROAD

    AMELIA, VA 23002

    Phone: (804) 561-5150

    Fax: (804) 561-6643

    Type: Location

  • Amelia Health Care Center, 8920, Otterburn Road, Amelia, Amelia County, Virginia, 23002, United States

    AMELIA COURT HOUSE, VA 230024854

    Phone: (804) 561-5150

    Fax: (804) 561-6643

    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.

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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 23002)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1194701177 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Community Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Amelia?
Public fields place Unknown Individual around Amelia, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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