JENNIE GAYLE SIDES
NPI 1073905626
Peer Specialist in Durham, OK

Q: What is Jennie Sides's NPI number?

The NPI number for Jennie Sides is 1073905626. It was assigned to this individual provider in the NPPES registry on February 19, 2015. The provider is also known as Mrs. Jennie Gayle Sadler.

Q: What is Jennie Sides's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennie Sides was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 19, 2015

8109 HIGHWAY 30, DURHAM, OK 73642(580) 799-7746 Get Directions Write a Review

NPPES record last updated: February 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennie Gayle Sides NPPES

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

JENNIE GAYLE SIDES (NPI 1073905626) is an individual peer specialist in Durham, Oklahoma and active in the NPI registry since February 2015.

NPPES Registry Identity

NPI1073905626

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameJENNIE GAYLE SIDES

Location Address8109 HIGHWAY 30Durham, OK 73642-4256

Mailing Address8109 Highway 30Durham, OK 73642-4256 · (580) 799-7746

Phone(580) 799-7746

Sole ProprietorYes

Enumeration DateFebruary 19, 2015

✔ NPI 1073905626 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.

8109 HIGHWAY 30, Durham, OK 73642

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Other Names 1

Other Name (5)Mrs. Jennie Gayle Sadler

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 Jennie Sides's NPI number?

The NPI number for Jennie Sides is 1073905626. It was assigned to this individual provider in the NPPES registry on February 19, 2015. The provider is also known as Mrs. Jennie Gayle Sadler.

Where is Jennie Sides located?

Jennie Sides practices at 8109 Highway 30, Durham, OK 73642. The listed phone number is (580) 799-7746.

What is Jennie Sides'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 Jennie Sides was last updated on February 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.