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TYLER LEE JOHNSON-ROOT
NPI 1144982604
Peer Specialist in Vinita, OK

Active since October 12, 2021
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6476 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Lee Johnson-root NPPES

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

TYLER LEE JOHNSON-ROOT (NPI 1144982604) is an individual peer specialist in Vinita, Oklahoma and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1144982604
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTYLER LEE JOHNSON-ROOT
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address405 E Excelsior AveVinita, OK 74301-4226 · (918) 256-6476
Phone(918) 256-6476
Sole ProprietorYes
Enumeration DateOctober 12, 2021
NPPES CertifiedOctober 11, 2021
✔ NPI 1144982604 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.
405 E EXCELSIOR AVE, Vinita, OK 74301
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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.

ANISSA MARIE MAYHEW
Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 245-6476
KARLEE GIBSON
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
CHRSITINA HART
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
JUSTIN LYNN CICOTTE
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
STEVEN RAY COATNEY
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
ELISABETH TENNEH BIMBA
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
KIMBERLY ANN CASHION
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 344-1577
CHRYSTAL BRASSFIELD MS
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476

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 Tyler Johnson-root's NPI number?

The NPI number for Tyler Johnson-root is 1144982604. It was assigned to this individual provider in the NPPES registry on October 12, 2021.

Where is Tyler Johnson-root located?

Tyler Johnson-root practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 256-6476.

What is Tyler Johnson-root'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 Tyler Johnson-root was last updated on October 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.