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JOHN J CRUZ
NPI 1104332170
Peer Specialist in Republic, WA

Active since December 28, 2017
65 N KELLER, REPUBLIC, WA 99166(509) 775-3364(509) 775-8906 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About John J Cruz NPPES

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

JOHN J CRUZ (NPI 1104332170) is an individual peer specialist in Republic, Washington, licensed in Washington (CG60806753) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1104332170
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJOHN J CRUZ
Location Address65 N KELLERRepublic, WA 99166-8804
Mailing Address165 E Hawthorne AveColville, WA 99114-2629 · (509) 684-4597 · Fax (509) 684-5286
Phone(509) 775-3364
Fax(509) 775-8906
Sole ProprietorNo
Enumeration DateDecember 28, 2017
✔ NPI 1104332170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WA · CG60806753
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.
65 N KELLER, Republic, WA 99166
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAILYN S FLECK
Peer Specialist
65 N KELLER
REPUBLIC, WA 99166
Ferry County (509) 775-3341
SARAH KW SPARK
Peer Specialist
65 N KELLER
REPUBLIC, WA 99166
Ferry County (509) 775-3341

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 John Cruz's NPI number?

The NPI number for John Cruz is 1104332170. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is John Cruz located?

John Cruz practices at 65 N Keller, Republic, WA 99166. The listed phone number is (509) 775-3364.

What is John Cruz'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 John Cruz was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.