Unknown Individual – Nurse Practitioner, NPI 1821092529

Unknown Individual is a healthcare provider. based in Star tannery, Virginia. specializing in Nurse Practitioner. They hold a License No. 0024041830 (VA). The NPI Number for Unknown Individual is 1821092529

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1821092529
Phone
(540) 465-9607
Address
651 PADDYS RUN RD
Deactivation Date
18 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 651 PADDYS RUN RD

    STAR TANNERY, VA 226542149

    Phone: (540) 465-9607

    Fax: (540) 465-9607

    Type: Mailing

  • 300 WESTMINSTER CANTERBURY DR

    WINCHESTER, VA 226034216

    Phone: (540) 665-5992

    Fax: (540) 665-1254

    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 22654)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1821092529; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Virginia?
You will see Star Tannery, Virginia on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1821092529. Always confirm identity and privileges with the practice and licensing boards.

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