Unknown Individual – Registered Nurse, NPI 1124499975

Unknown Individual is a healthcare provider. based in Pryor, Oklahoma. specializing in Registered Nurse. They hold a License No. 67665 (OK). The NPI Number for Unknown Individual is 1124499975

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124499975
Phone
(918) 839-2707
Address
117 QUAIL DR
Deactivation Date
15 May 2024
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

  • 117 QUAIL DR

    PRYOR, OK 743619620

    Phone: (918) 839-2707

    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 74361)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1124499975 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oklahoma?
You will see Pryor, Oklahoma on file for Unknown Individual alongside any extra practice locations.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1124499975. Always confirm identity and privileges with the practice and licensing boards.

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