Unknown Individual – Psychiatric/Mental Health Registered Nurse, NPI 1649202482

Unknown Individual is a healthcare provider. based in Disputanta, Virginia. specializing in Psychiatric/Mental Health Registered Nurse. They hold a License No. 0001023016 (VA). The NPI Number for Unknown Individual is 1649202482

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649202482
Phone
(804) 733-0729
Address
4101 RED GATE DR
Deactivation Date
10 February 2022
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

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Provider Addresses for Unknown Individual

  • 4101 RED GATE DR

    DISPUTANTA, VA 238424328

    Phone: (804) 733-0729

    Fax: (804) 733-4896

    Type: Mailing

  • 20, West Bank Street, Pocahontas, Petersburg, Virginia, 23803, United States

    SUITE 6

    PETERSBURG, VA 238033279

    Phone: (804) 862-8002

    Fax: (804) 862-8023

    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 23842)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1649202482 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Disputanta, Virginia. Check all listed addresses for suites or satellite offices.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.