Unknown Individual – Speech-Language Pathologist, NPI 1184783581

Unknown Individual is a healthcare provider. based in Waverly, Iowa. specializing in Speech-Language Pathologist. They hold a License No. 463 (IA). The NPI Number for Unknown Individual is 1184783581

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184783581
Phone
(319) 352-5726
Address
1810 4TH ST SW STE 103A
Deactivation Date
12 November 2025
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

  • 103, 4th Street Southwest, Waverly, Bremer County, Iowa, 50677, United States

    WAVERLY, IA 506774333

    Phone: (319) 352-5726

    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 50677)

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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 1184783581 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Waverly, Iowa in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Unknown Individual

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MRS. TANYA HAASE (SLP)

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MRS. SARAH MARIE PETULLO (SLP)

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DENISE FAYE RENAUD (SLP)

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MARY ESTER OCHOA (SLP)

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GENA KLINGAMAN (SLP)

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LARISSA LEE TRELOAR (SLP)

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MRS. SYDNEY DEMARIS (M.A. SLP)

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