Unknown Individual – Neonatal Nurse Practitioner, NPI 1619924974

Unknown Individual is a healthcare provider. based in Salem, Virginia. specializing in Neonatal Nurse Practitioner. They hold a License No. 0024069902 (VA). The NPI Number for Unknown Individual is 1619924974

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619924974
Phone
(540) 389-8822
Address
1604 CLIFFVIEW DR.
Deactivation Date
3 January 2024
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

  • Lancing Drive, Cliffview, Salem, Virginia, 24153, United States

    SALEM, VA 24153

    Phone: (540) 389-8822

    Type: Mailing

  • 101, Elm Avenue Southeast, Cedar Bluff, Old Southwest, Roanoke, Virginia, 24013, United States

    ROANOKE, VA 24012

    Phone: (540) 985-9840

    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.

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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 24153)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1619924974.
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 Neonatal Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Salem?
Public fields place Unknown Individual around Salem, Virginia. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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