MOSS GAWAIN
NPI 1164103834
Peer Specialist in Broken Arrow, OK
NPI Status: Active since July 26, 2023
Contact Information
2548 E KENOSHA ST
BROKEN ARROW, OK
ZIP 74014
Phone: (918) 355-0993
- Individual
- Female
- Peer Specialist
About MOSS GAWAIN
This page provides the complete NPI Profile along with additional information for Moss Gawain, a provider established in Broken Arrow, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1164103834 assigned on July 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1164103834
- Provider Name
- MOSS GAWAIN
- Other Name
- ALESSANDRA GABRIELLE RAGUSIN
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2548 E KENOSHA ST BROKEN ARROW, OK 74014
- Location Phone
- (918) 355-0993
- Mailing Address
- 4103 S YALE AVE STE B TULSA, OK 74135
- Mailing Phone
- (918) 382-7300
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2023
- Last Update Date
- 02-18-2025
- Code Navigator
Location Map
Secondary Locations
- 4103 S Yale Ave Ste B
Tulsa, OK 74135
(918) 382-7300
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164103834, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 56 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BROKEN ARROW, OK 74014
BROKEN ARROW, OK 74014
BROKEN ARROW, OK 74014
BROKEN ARROW, OK 74014
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164103834, enumerated as an "individual" on July 26, 2023.
The provider is located at 2548 E KENOSHA ST BROKEN ARROW, OK 74014 and the phone number is (918) 355-0993.
Peer Specialist with taxonomy code 175T00000X.