Unknown Individual – Speech-Language Pathologist, NPI 1174595045

Unknown Individual is a healthcare provider. based in New prague, Minnesota. specializing in Speech-Language Pathologist. They hold a License No. 7019 (MN). The NPI Number for Unknown Individual is 1174595045

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174595045
Phone
(952) 758-5775
Address
314 MAIN ST E
Deactivation Date
16 January 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

  • 314, Main Street East, New Prague, Le Sueur County, Minnesota, 56071, United States

    SUITE 3

    NEW PRAGUE, MN 560712448

    Phone: (952) 758-5775

    Fax: (975) 758-5778

    Type: Location

  • 10816, Morris Avenue South, Bloomington, Hennepin County, Minnesota, 55437, United States

    BLOOMINGTON, MN 554373058

    Phone: (952) 758-5775

    Fax: (952) 758-5778

    Type: Mailing

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.

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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.

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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 56071)

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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 1174595045 for Unknown Individual.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
How should patients interpret Unknown Individual's specialty?
The extract shows Speech-Language Pathologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in New Prague, Minnesota?
For routing, start with New Prague, Minnesota for Unknown Individual, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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