KRISTINA MICHELLE GILLUM
NPI 1194468058
Peer Specialist in Vinita, OK

Active since April 19, 2022
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6476 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kristina Michelle Gillum NPPES

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

KRISTINA MICHELLE GILLUM (NPI 1194468058) is an individual peer specialist in Vinita, Oklahoma and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1194468058
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKRISTINA MICHELLE GILLUM
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address405 E Excelsior AveVinita, OK 74301-4226 · (918) 256-6476
Sole ProprietorNo
Enumeration DateApril 19, 2022
NPPES CertifiedApril 19, 2022
NPI 1194468058 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

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.

Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301

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 Kristina Gillum's NPI number?

The NPI number for Kristina Gillum is 1194468058. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Kristina Gillum located?

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

What is Kristina Gillum'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 Kristina Gillum was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.