Unknown Individual – Registered Nurse, NPI 1659824753

Unknown Individual is a healthcare provider. based in Vinita, Oklahoma. specializing in Registered Nurse. They hold a License No. R0028315 (OK). The NPI Number for Unknown Individual is 1659824753

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1659824753
Phone
(918) 256-6476
Address
405 E EXCELSIOR AVE
Deactivation Date
12 December 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

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Provider Addresses for Unknown Individual

  • 405, East Excelsior Avenue, Vinita, Craig County, Oklahoma, 74301, United States

    VINITA, OK 743014226

    Phone: (918) 256-6476

    Fax: (918) 256-3628

    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 74301)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1659824753.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Vinita, Oklahoma?
If you are local to Vinita, Oklahoma, Unknown Individual may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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