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RAVEN BRUCE
NPI 1356055669
Peer Specialist in Shawnee, OK

Active since January 11, 2023
1336 N HARRISON AVE, SHAWNEE, OK 74801(405) 424-7711 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raven Bruce NPPES

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

RAVEN BRUCE (NPI 1356055669) is an individual peer specialist in Shawnee, Oklahoma and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1356055669
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameRAVEN BRUCE
Location Address1336 N HARRISON AVEShawnee, OK 74801-5206
Mailing Address113 W College AveSeminole, OK 74868-3302
Phone(405) 424-7711
Sole ProprietorNo
Enumeration DateJanuary 11, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1356055669 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.
1336 N HARRISON AVE, Shawnee, OK 74801
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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.

MERANDA SMALLWOOD LMSW
Social Worker (Clinical)
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
FAYTH KIMBRELL
Peer Specialist
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
JAQUELYN BETH WOTHERSPOON
Case Manager/Care Coordinator
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
MRS. SETH DAWN COLDWELL
Case Manager/Care Coordinator
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 275-7100
BETHANY LIN DAMRON
Case Manager/Care Coordinator
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
HEATHER ST JOHN
Case Manager/Care Coordinator
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
TARA LYNN MERRITT
Peer Specialist
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711
ADRIENNE R QUIRK
Case Manager/Care Coordinator
1336 N HARRISON AVE
SHAWNEE, OK 74801
Pottawatomie County (405) 424-7711

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 Raven Bruce's NPI number?

The NPI number for Raven Bruce is 1356055669. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Raven Bruce located?

Raven Bruce practices at 1336 N Harrison Ave, Shawnee, OK 74801. The listed phone number is (405) 424-7711.

What is Raven Bruce'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 Raven Bruce was last updated on January 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.