LADONNA RENEE BLACKBEAR
NPI 1104625201
Peer Specialist in Tahlequah, OK

Active since March 11, 2025
113 W KEETOOWAH ST, TAHLEQUAH, OK 74464(918) 931-3700 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ladonna Renee Blackbear NPPES

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

LADONNA RENEE BLACKBEAR (NPI 1104625201) is an individual peer specialist in Tahlequah, Oklahoma and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1104625201
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameLADONNA RENEE BLACKBEAR
Location Address113 W KEETOOWAH STTahlequah, OK 74464-3819
Mailing Address113 W Keetoowah StTahlequah, OK 74464-3819 · (918) 931-3700
Sole ProprietorYes
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
NPI 1104625201 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.
113 W KEETOOWAH ST, Tahlequah, OK 74464

Other Providers at the Same Location NPPES 9

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

Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Clinic/Center (Mental Health (Including Community Mental Health Center))
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Case Manager/Care Coordinator
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464
Peer Specialist
113 W KEETOOWAH ST
TAHLEQUAH, OK 74464

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 Ladonna Blackbear's NPI number?

The NPI number for Ladonna Blackbear is 1104625201. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Ladonna Blackbear located?

Ladonna Blackbear practices at 113 W Keetoowah St, Tahlequah, OK 74464. The listed phone number is (918) 931-3700.

What is Ladonna Blackbear'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 Ladonna Blackbear was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.