Unknown Individual – Adult Health Nurse Practitioner, NPI 1700936606

Unknown Individual is a healthcare provider. based in Reston, Virginia. specializing in Adult Health Nurse Practitioner. They hold a License No. RN67708 (DC). The NPI Number for Unknown Individual is 1700936606

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700936606
Phone
(703) 476-4101
Address
2526 HEATHCLIFF LN
Deactivation Date
5 December 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

  • 2526, Heathcliff Lane, Reston, Fairfax County, Virginia, 20191, United States

    RESTON, VA 201914225

    Phone: (703) 476-4101

    Type: Mailing

  • World Bank (MC Building), 1818, H Street Northwest, Golden Triangle, Washington, Washington, D.C., 20037, United States

    MC C2 208

    WASHINGTON, DC 204330001

    Phone: (202) 458-1371

    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.

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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 20191)

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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 1700936606 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Reston?
Public fields place Unknown Individual around Reston, Virginia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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