Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1578670303

Unknown Individual is a healthcare provider. based in Poulsbo, Washington. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. AP30002077 (WA). The NPI Number for Unknown Individual is 1578670303

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578670303
Phone
(360) 377-3776
Address
19917 7th Ave NE Ste 205
Deactivation Date
21 November 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

  • 19917 7th Ave NE Ste 205

    Poulsbo, WA 983706555

    Phone: (360) 377-3776

    Fax: (360) 373-2096

    Type: Location

  • Almira Drive, East Bremerton, Bremerton, Kitsap County, Washington, 98310-3604, United States

    BREMERTON, WA 983118330

    Phone: (360) 373-5031

    Fax: (360) 415-5894

    Type: Location

  • 816, Madison Avenue North, Winslow, Bainbridge Island, Kitsap County, Washington, 98110, United States

    BAINBRIDGE ISLAND, WA 981101769

    Phone: (206) 842-8160

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-08-09 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-09

Latest reported date

Top Companies

Largest payers in this snapshot

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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 98370)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1578670303 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychiatric/Mental Health Nurse Practitioner for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Poulsbo, Washington for Unknown Individual; expand the address list for detail.
What if Poulsbo, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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