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AMANDA IRENE EBERT
NPI 1003660721
Peer Specialist in Ponca City, OK

Active since April 17, 2024
101 WHITE EAGLE DR, PONCA CITY, OK 74601(580) 762-3421 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda Irene Ebert NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA IRENE EBERT (NPI 1003660721) is an individual peer specialist in Ponca City, Oklahoma and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1003660721
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA IRENE EBERT
Location Address101 WHITE EAGLE DRPonca City, OK 74601-8307
Mailing Address101 White Eagle DrPonca City, OK 74601-8307 · (580) 762-3421
Phone(580) 762-3421
Sole ProprietorYes
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
✔ NPI 1003660721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
101 WHITE EAGLE DR, Ponca City, OK 74601
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATILDA DE LA GARZA
Case Manager/Care Coordinator
101 WHITE EAGLE DR
PONCA CITY, OK 74601
Kay County (580) 762-3421
PAULINE HALL
Peer Specialist
101 WHITE EAGLE DR
PONCA CITY, OK 74601
Kay County (580) 749-7322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Ebert's NPI number?

The NPI number for Amanda Ebert is 1003660721. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Amanda Ebert located?

Amanda Ebert practices at 101 White Eagle Dr, Ponca City, OK 74601. The listed phone number is (580) 762-3421.

What is Amanda Ebert's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Amanda Ebert was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.