Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1164428900

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Certified Registered Nurse Anesthetist. They hold a License No. 14974 (OK). The NPI Number for Unknown Individual is 1164428900

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164428900
Phone
(918) 252-2020
Address
6140 S MEMORIAL DR
Deactivation Date
6 March 2024
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

  • Triad Eye Center, 6140, South Memorial Drive, Burning Tree, Tulsa, Tulsa County, Oklahoma, 74133, United States

    TULSA, OK 741331933

    Phone: (918) 252-2020

    Fax: (918) 252-7466

    Type: Mailing

  • 3131, Military Boulevard, Muskogee, Muskogee County, Oklahoma, 74401, United States

    MUSKOGEE, OK 744012290

    Phone: (918) 687-6600

    Fax: (918) 268-6610

    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 74133)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1164428900.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Certified Registered Nurse Anesthetist in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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