JANIS ELLEN ELLIFRITT
NPI 1306601943
Peer Specialist in Del City, OK

Active since February 13, 2024
4129 CORBETT DR, DEL CITY, OK 73115(405) 493-1629 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Peer Specialist

About JANIS ELLIFRITT

This page provides the complete NPI Profile along with additional information for Janis Ellifritt, a provider established in Del City, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1306601943 assigned on February 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1306601943 Verify this NPI
Provider Name
JANIS ELLEN ELLIFRITT
Gender
Female
Entity Type
Individual
Location Address
4129 CORBETT DR DEL CITY, OK 73115
Location Phone
(405) 493-1629
Mailing Address
4129 CORBETT DR DEL CITY, OK 73115
Is Sole Proprietor?
Yes
Enumeration Date
02-13-2024
Last Update Date
02-13-2024
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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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306601943, enumerated as an "individual" on February 13, 2024.

The provider is located at 4129 CORBETT DR DEL CITY, OK 73115 and the phone number is (405) 493-1629.

Peer Specialist with taxonomy code 175T00000X.