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DAVI BLACKTHORNE
NPI 1366142689
Peer Specialist in Shawnee, OK

Active since March 06, 2023
1336 N HARRISON AVE, SHAWNEE, OK 74801(405) 424-7711 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Davi Blackthorne NPPES

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

DAVI BLACKTHORNE (NPI 1366142689) is an individual peer specialist in Shawnee, Oklahoma and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1366142689
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDAVI BLACKTHORNE
Location Address1336 N HARRISON AVEShawnee, OK 74801-5206
Mailing Address3308 Se 89th StOklahoma City, OK 73135-6229
Phone(405) 424-7711
Sole ProprietorNo
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
✔ NPI 1366142689 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 Davi Blackthorne's NPI number?

The NPI number for Davi Blackthorne is 1366142689. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Davi Blackthorne located?

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

What is Davi Blackthorne'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 Davi Blackthorne was last updated on March 6, 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.