Unknown Individual – Speech-Language Pathologist, NPI 1407173594

Unknown Individual is a healthcare provider. based in Ponte vedra beach, Florida. specializing in Speech-Language Pathologist. They hold a License No. 3699891 (FL). The NPI Number for Unknown Individual is 1407173594

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407173594
Phone
(904) 273-8266
Address
105 ALSACE CT
Deactivation Date
16 October 2025
Data current as of
20 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

  • 105 ALSACE CT

    PONTE VEDRA BEACH, FL 320822950

    Phone: (904) 273-8266

    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.

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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 32082)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1407173594 is assigned to Unknown Individual under the national enumeration system.
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 Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Ponte Vedra Beach, Florida 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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