Unknown Individual – Student Health Clinic/Center, NPI 1114040755

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Student Health Clinic/Center. They hold a License No. 19349 (WA). The NPI Number for Unknown Individual is 1114040755

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114040755
Phone
(206) 624-6477
Address
316 BROADWAY
Deactivation Date
17 May 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

Provider Addresses for Unknown Individual

  • 316 BROADWAY

    SEATTLE, WA 981225325

    Phone: (206) 624-6477

    Fax: (206) 382-3303

    Type: Mailing

  • 1345 22ND ST NE

    AUBURN, WA 980023442

    Phone: (253) 833-5908

    Fax: (253) 931-8981

    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 ·

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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 98122)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1114040755 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Student Health Clinic/Center in this dataset. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Seattle, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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