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BLAKE MONTANA BIGEAGLE
NPI 1073226817
Peer Specialist in Vinita, OK

Active since December 26, 2022
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 559-9957 Get Directions Write a Review

NPPES record last updated: December 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Blake Montana Bigeagle NPPES

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

BLAKE MONTANA BIGEAGLE (NPI 1073226817) is an individual peer specialist in Vinita, Oklahoma and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1073226817
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBLAKE MONTANA BIGEAGLE
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address405 E Excelsior AveVinita, OK 74301-4226 · (918) 559-9957
Phone(918) 559-9957
Sole ProprietorYes
Enumeration DateDecember 26, 2022
NPPES CertifiedDecember 26, 2022
✔ NPI 1073226817 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 Blake Bigeagle's NPI number?

The NPI number for Blake Bigeagle is 1073226817. It was assigned to this individual provider in the NPPES registry on December 26, 2022.

Where is Blake Bigeagle located?

Blake Bigeagle practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 559-9957.

What is Blake Bigeagle'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 Blake Bigeagle was last updated on December 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.