Unknown Individual – Family Nurse Practitioner, NPI 1295742658

Unknown Individual is a healthcare provider. based in Duffield, Virginia. specializing in Family Nurse Practitioner. They hold a License No. 0024109500 (VA). The NPI Number for Unknown Individual is 1295742658

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295742658
Phone
(276) 431-1638
Address
134 CECIL D QUILLEN DR
Deactivation Date
6 September 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 134 CECIL D QUILLEN DR

    DUFFIELD, VA 242449726

    Phone: (276) 431-1638

    Fax: (276) 431-1639

    Type: Location

  • 30, Compton, Graystone Estates, Bristol, Sullivan County, East Tennessee, Tennessee, 37620, United States

    BRISTOL, TN 376202904

    Phone: (423) 764-9341

    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.

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 24244)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1295742658.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Duffield, Virginia for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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