Unknown Individual – Nephrology Physician, NPI 1962407312

Unknown Individual is a healthcare provider. based in Lakewood, Washington. specializing in Nephrology Physician. They hold a License No. MD00008728 (WA). The NPI Number for Unknown Individual is 1962407312

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962407312
Phone
(253) 588-7911
Address
PO BOX 97115
Deactivation Date
11 March 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

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Provider Addresses for Unknown Individual

  • PO BOX 97115

    LAKEWOOD, WA 984970115

    Phone: (253) 588-7911

    Type: Mailing

  • 1624, South I Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    STE 303

    TACOMA, WA 984055093

    Phone: (253) 272-1231

    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 ·

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 98497)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1962407312 for Unknown Individual.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Nephrology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Lakewood, Washington?
For routing, start with Lakewood, Washington for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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