Unknown Individual – Family Nurse Practitioner, NPI 1447241104

Unknown Individual is a healthcare provider. based in Tahlequah, Oklahoma. specializing in Family Nurse Practitioner. They hold a License No. R0039128 (OK). The NPI Number for Unknown Individual is 1447241104

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1447241104
Phone
(918) 458-3100
Address
100 S BLISS AVE
Deactivation Date
13 September 2021
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

  • 100, Bliss Avenue, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744642512

    Phone: (918) 458-3100

    Type: Location

  • 19185, East Willis Road, Tahlequah, Cherokee County, Oklahoma, 74464, United States

    TAHLEQUAH, OK 744640561

    Phone: (918) 458-3100

    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.

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 74464)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1447241104 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Tahlequah, Oklahoma.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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