Unknown Individual – Gerontology Clinical Nurse Specialist, NPI 1790811941

Unknown Individual is a healthcare provider. based in Tulsa, Oklahoma. specializing in Gerontology Clinical Nurse Specialist. They hold a License No. R0028317 (OK). The NPI Number for Unknown Individual is 1790811941

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790811941
Phone
(918) 599-5286
Address
4252 E 24TH PL
Deactivation Date
12 December 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

Provider Addresses for Unknown Individual

  • 4252 E 24TH PL

    TULSA, OK 741143614

    Phone: (918) 599-5286

    Fax: (918) 631-2518

    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.

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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 74114)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1790811941 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Gerontology Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Tulsa, Oklahoma as a primary anchor for Unknown Individual unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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