LISA MIKSELL - NPI 1104224450 - Peer Specialist in Pryor, OK

Q: What is Lisa Miksell's NPI number?

The NPI number for Lisa Miksell is 1104224450. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Q: What is Lisa Miksell'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 Lisa Miksell was last updated on December 22, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Lisa Miksell NPPES

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

LISA MIKSELL (NPI 1104224450) is an individual peer specialist in Pryor, Oklahoma and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1104224450

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameLISA MIKSELL

Location Address231 E GRAHAM AVEPryor, OK 74361-2436

Mailing Address1540 Old Highway 33Chouteau, OK 74337-3821 · (918) 691-3989

Phone(918) 825-1405

Fax(918) 825-1406

Sole ProprietorNo

Enumeration DateDecember 17, 2014

Last NPPES UpdateDecember 22, 2014

✔ NPI 1104224450 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.

231 E GRAHAM AVE, Pryor, OK 74361

Open in Google Maps ↗

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.

TRACY PRUITT

Case Manager/Care Coordinator