Unknown Individual – Nurse Practitioner, NPI 1922073964

Unknown Individual is a healthcare provider. based in Newport news, Virginia. specializing in Nurse Practitioner. They hold a License No. 0017000265 (VA). The NPI Number for Unknown Individual is 1922073964

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922073964
Phone
(757) 232-8769
Address
11830 FISHING POINT DR
Deactivation Date
18 February 2022
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

  • 11830, Fishing Point Drive, City Center, Newport News, Newport News City, Virginia, 23606, United States

    SUITE 221

    NEWPORT NEWS, VA 236062586

    Phone: (757) 232-8769

    Fax: (757) 232-8866

    Type: Mailing

  • 860, Omni Boulevard, City Center, Newport News, Newport News City, Virginia, 23606, United States

    SUITE 303

    NEWPORT NEWS, VA 236064430

    Phone: (804) 843-3131

    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.

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 23606)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1922073964 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Newport News, Virginia for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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