Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1356754584

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 736634 (CA). The NPI Number for Unknown Individual is 1356754584

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356754584
Phone
(360) 993-3000
Address
PO BOX 1337
Deactivation Date
8 May 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 1337

    VANCOUVER, WA 986661337

    Phone: (360) 993-3000

    Fax: (360) 993-3047

    Type: Mailing

  • 6926 E FOURTH PLAIN BLVD

    VANCOUVER, WA 986617369

    Phone: (360) 993-3000

    Fax: (360) 993-3047

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $193.

Total Amount is formed as General ($193) + Research ($0) + Ownership ($0) = $193.

Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Corium, LLC ($47).

Total Amount

$193

General + Research + Ownership

Payments

12

Total payment records

General Amount

$193

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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 98666)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1356754584 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Vancouver, Washington; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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