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MR. BRIAN SHIPLEY JR.
NPI 1093404311
Peer Specialist in Tahlequah, OK

Active since May 03, 2023
1106 HILLCREST AVE, TAHLEQUAH, OK 74464(918) 506-0851 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mr. Brian Shipley Jr. NPPES

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

MR. BRIAN SHIPLEY JR. (NPI 1093404311) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1093404311
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. BRIAN SHIPLEY JR.
Location Address1106 HILLCREST AVETahlequah, OK 74464-4610
Mailing Address1106 Hillcrest AveTahlequah, OK 74464-4610 · (918) 506-0851
Phone(918) 506-0851
Sole ProprietorNo
Enumeration DateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1093404311 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.
1106 HILLCREST AVE, Tahlequah, OK 74464
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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 Brian Shipley's NPI number?

The NPI number for Brian Shipley is 1093404311. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Brian Shipley located?

Brian Shipley practices at 1106 Hillcrest Ave, Tahlequah, OK 74464. The listed phone number is (918) 506-0851.

What is Brian Shipley'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 Brian Shipley was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.