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JACKIE ELLEN CHUCULATE
NPI 1063903029
Peer Specialist in Vinita, OK

Active since May 25, 2018
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6474(918) 256-3628 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2018, May 25, 2018 (2 updates tracked since 2018).

About Jackie Ellen Chuculate NPPES

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

JACKIE ELLEN CHUCULATE (NPI 1063903029) is an individual peer specialist in Vinita, Oklahoma and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1063903029
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJACKIE ELLEN CHUCULATE
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address405 E Excelsior AveVinita, OK 74301-4226 · (918) 256-6474 · Fax (918) 256-3628
Phone(918) 256-6474
Fax(918) 256-3628
Sole ProprietorNo
Enumeration DateMay 25, 2018
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1063903029 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.
405 E EXCELSIOR AVE, Vinita, OK 74301
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Other Providers at the Same Location NPPES 20

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

ANISSA MARIE MAYHEW
Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 245-6476
KARLEE GIBSON
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
CHRSITINA HART
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
JUSTIN LYNN CICOTTE
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
STEVEN RAY COATNEY
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
ELISABETH TENNEH BIMBA
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
KIMBERLY ANN CASHION
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 344-1577
CHRYSTAL BRASSFIELD MS
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476

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 Jackie Chuculate's NPI number?

The NPI number for Jackie Chuculate is 1063903029. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Jackie Chuculate located?

Jackie Chuculate practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 256-6474.

What is Jackie Chuculate'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 Jackie Chuculate was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.