1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Peer Specialist
  6. NPI Profile

CORRISHA SHANEE MOORE
NPI 1225787096
Peer Specialist in Tulsa, OK

Active since March 21, 2022
1728 S CARSON AVE, TULSA, OK 74119(918) 406-3420 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Corrisha Shanee Moore NPPES

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

CORRISHA SHANEE MOORE (NPI 1225787096) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1225787096
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCORRISHA SHANEE MOORE
Location Address1728 S CARSON AVETulsa, OK 74119-4610
Mailing Address8716 E 72nd Pl Apt 205Tulsa, OK 74133-3181 · (918) 262-0278
Phone(918) 406-3420
Sole ProprietorNo
Enumeration DateMarch 21, 2022
Last NPPES UpdateDecember 20, 2023
NPPES CertifiedDecember 20, 2023
✔ NPI 1225787096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
1728 S CARSON AVE, Tulsa, OK 74119
Open in Google Maps ↗

Other Names 1

Former Name (1)Corrisha Shanee Calvert

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.

DR. GARY RAYMOND RHODES JR. MA, MS, MMFT, DMIN
Marriage & Family Therapist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
JIMMY DEAN HARJO JR.
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 406-3420
MS. CINDY B SMITH M.S., L.P.C.
Counselor (Mental Health)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 816-1149
MR. CORY RAY THACKERAY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 946-1209
JOI-MICHELLE RHODES MSW
Social Worker (Clinical)
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 936-6127
JOHNNIE FAYE LOONEY
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 859-7510
JOHN JASON TAYLOR
Peer Specialist
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 231-3887
ABRAXAS SCIENTIFIC
Clinical Medical Laboratory
1728 S CARSON AVE
TULSA, OK 74119
Tulsa County (918) 917-4321

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 Corrisha Moore's NPI number?

The NPI number for Corrisha Moore is 1225787096. It was assigned to this individual provider in the NPPES registry on March 21, 2022. The provider is also known as Corrisha Shanee Calvert.

Where is Corrisha Moore located?

Corrisha Moore practices at 1728 S Carson Ave, Tulsa, OK 74119. The listed phone number is (918) 406-3420.

What is Corrisha Moore'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 Corrisha Moore was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.