WILLIAM GENTRY
NPI 1073380952
Peer Specialist in Oklahoma City, OK

Active since December 11, 2023
5921 NW 54TH ST, OKLAHOMA CITY, OK 73122(405) 990-8359 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Peer Specialist

About WILLIAM GENTRY

This page provides the complete NPI Profile along with additional information for William Gentry, a provider established in Oklahoma City, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1073380952 assigned on December 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1073380952 Verify this NPI
Provider Name
WILLIAM GENTRY
Gender
Male
Entity Type
Individual
Location Address
5921 NW 54TH ST OKLAHOMA CITY, OK 73122
Location Phone
(405) 990-8359
Mailing Address
5921 NW 54TH ST OKLAHOMA CITY, OK 73122
Mailing Phone
(405) 990-8359
Is Sole Proprietor?
Yes
Enumeration Date
12-11-2023
Last Update Date
12-11-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073380952, enumerated as an "individual" on December 11, 2023.

The provider is located at 5921 NW 54TH ST OKLAHOMA CITY, OK 73122 and the phone number is (405) 990-8359.

Peer Specialist with taxonomy code 175T00000X.