Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1417287491

Unknown Individual is a healthcare provider. based in Lynchburg, Virginia. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 0024056770 (VA). The NPI Number for Unknown Individual is 1417287491

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417287491
Phone
(434) 947-3944
Address
2215 LANDOVER PL
Deactivation Date
4 September 2025
Data current as of
20 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

  • Medical Associates, 2215, Landover Place, Lynchburg, Lynchburg (city), Virginia, 24501, United States

    LYNCHBURG, VA 245012115

    Phone: (434) 947-3944

    Fax: (434) 947-3944

    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 24501)

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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 1417287491 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Lynchburg, Virginia as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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