Unknown Individual – Family Nurse Practitioner, NPI 1154358240

Unknown Individual is a healthcare provider. based in Granger, Washington. specializing in Family Nurse Practitioner. They hold a License No. AP30000030 (WA). The NPI Number for Unknown Individual is 1154358240

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154358240
Phone
(509) 854-2772
Address
P.O.BOX 850
Deactivation Date
16 August 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

Loading map...

Provider Addresses for Unknown Individual

  • P.O.BOX 850

    GRANGER, WA 98932

    Phone: (509) 854-2772

    Fax: (509) 854-2568

    Type: Mailing

  • 111, Main Street, Granger, Yakima County, Washington, 98932, United States

    GRANGER, WA 989329306

    Phone: (509) 854-2772

    Fax: (509) 854-2568

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 98932)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1154358240 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Granger, Washington.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

2024 15TH ST FL 2
NPI: 1669778635

HEATHER MARIE STICKLE (ARNP)

Family Nurse Practitioner
115 SUNNYSIDE AVE
NPI: 1518235001
PO BOX 883
NPI: 1215485321
2946 WINFIELD DUNN PKWY STE 107
NPI: 1831663905

MS. KEMMERLY ELIZABETH WALKER (FNP-C)

Family Nurse Practitioner
620 W Grove St
NPI: 1265189450
111 MAIN STREET
NPI: 1134901622

SANDRA BRAVO (ARNP)

Family Nurse Practitioner
612 F AVE
NPI: 1467282665