Unknown Individual – Speech-Language Pathologist, NPI 1750493789

Unknown Individual is a healthcare provider. based in Stillwater, Oklahoma. specializing in Speech-Language Pathologist. They hold a License No. 10259 (TX). The NPI Number for Unknown Individual is 1750493789

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1750493789
Phone
(405) 744-6021
Address
110 HANNER HALL
Deactivation Date
13 October 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 110 HANNER HALL

    STILLWATER, OK 740785060

    Phone: (405) 744-6021

    Fax: (405) 744-8070

    Type: Location

  • East Cimarron Drive, Donaldson and Manning Estates, Stillwater, Payne County, Oklahoma, 74075, United States

    STILLWATER, OK 740757931

    Phone: (405) 744-8009

    Fax: (405) 744-8070

    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 74078)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1750493789.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Speech-Language Pathologist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Stillwater, Oklahoma as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.