Unknown Individual – Obstetrics & Gynecology Nurse Practitioner, NPI 1558419879

Unknown Individual is a healthcare provider. based in Spokane, Washington. specializing in Obstetrics & Gynecology Nurse Practitioner. They hold a License No. AP30001003 (WA). The NPI Number for Unknown Individual is 1558419879

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558419879
Phone
(509) 455-8866
Address
601 W 5TH AVE
Deactivation Date
26 June 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

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Provider Addresses for Unknown Individual

  • 601, West 5th Avenue, Cliff–Cannon, Spokane, Spokane County, Washington, 99204, United States

    SUITE #301

    SPOKANE, WA 992042714

    Phone: (509) 455-8866

    Fax: (509) 838-3411

    Mailing address matches the actual address.

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 99204)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1558419879 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Spokane, Washington for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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