MRS. TRACY LEIGH WILDE BA
NPI 1104143213
Peer Specialist in Broken Arrow, OK

Active since April 28, 2010
7015 S DOGWOOD PL, BROKEN ARROW, OK 74011(918) 630-3566 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 17, 2026, Mar 4, 2026 (2 updates tracked since 2026).

About Mrs. Tracy Leigh Wilde Ba NPPES

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

MRS. TRACY LEIGH WILDE BA (NPI 1104143213) is an individual peer specialist in Broken Arrow, Oklahoma and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1104143213
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. TRACY LEIGH WILDECredential: BA
Location Address7015 S DOGWOOD PLBroken Arrow, OK 74011-2071
Mailing Address7015 S Dogwood PlBroken Arrow, OK 74011-2071 · (918) 630-3566
Sole ProprietorNo
Enumeration DateApril 28, 2010
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
NPI 1104143213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
7015 S DOGWOOD PL, Broken Arrow, OK 74011

Other Names 1

Former Name (1)Mrs. Tracy Leigh Bigby Ba

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 Tracy Wilde's NPI number?

The NPI number for Tracy Wilde is 1104143213. It was assigned to this individual provider in the NPPES registry on April 28, 2010. The provider is also known as Mrs. Tracy Leigh Bigby Ba.

Where is Tracy Wilde located?

Tracy Wilde practices at 7015 S Dogwood Pl, Broken Arrow, OK 74011. The listed phone number is (918) 630-3566.

What is Tracy Wilde'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 Tracy Wilde was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.