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KALISTE CAMILE BOURELL
NPI 1235940164
Peer Specialist in Warr Acres, OK

Active since January 20, 2025
6400 N ANN ARBOR AVE, WARR ACRES, OK 73132(405) 428-2866 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kaliste Camile Bourell NPPES

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

KALISTE CAMILE BOURELL (NPI 1235940164) is an individual peer specialist in Warr Acres, Oklahoma and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1235940164
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKALISTE CAMILE BOURELL
Location Address6400 N ANN ARBOR AVEWarr Acres, OK 73132-7705
Mailing Address6400 N Ann Arbor AveWarr Acres, OK 73132-7705 · (405) 428-2866
Phone(405) 428-2866
Sole ProprietorNo
Enumeration DateJanuary 20, 2025
NPPES CertifiedJanuary 19, 2025
✔ NPI 1235940164 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.
6400 N ANN ARBOR AVE, Warr Acres, OK 73132
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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 Kaliste Bourell's NPI number?

The NPI number for Kaliste Bourell is 1235940164. It was assigned to this individual provider in the NPPES registry on January 20, 2025.

Where is Kaliste Bourell located?

Kaliste Bourell practices at 6400 N Ann Arbor Ave, Warr Acres, OK 73132. The listed phone number is (405) 428-2866.

What is Kaliste Bourell'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 Kaliste Bourell was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.