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KIMBERLEY DIANE JARVIS
NPI 1396496899
Peer Specialist in Prague, OK

Active since January 16, 2022
11637 NS 3580 RD, PRAGUE, OK 74864(405) 812-8898 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Jan 16, 2022 (2 updates tracked since 2022).

About Kimberley Diane Jarvis NPPES

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

KIMBERLEY DIANE JARVIS (NPI 1396496899) is an individual peer specialist in Prague, Oklahoma and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1396496899
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKIMBERLEY DIANE JARVIS
Location Address11637 NS 3580 RDPrague, OK 74864-6479
Mailing Address11637 Ns 3580 RdPrague, OK 74864-6479 · (405) 812-8898
Phone(405) 812-8898
Sole ProprietorNo
Enumeration DateJanuary 16, 2022
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2022
✔ NPI 1396496899 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.
11637 NS 3580 RD, Prague, OK 74864
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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 Kimberley Jarvis's NPI number?

The NPI number for Kimberley Jarvis is 1396496899. It was assigned to this individual provider in the NPPES registry on January 16, 2022.

Where is Kimberley Jarvis located?

Kimberley Jarvis practices at 11637 Ns 3580 Rd, Prague, OK 74864. The listed phone number is (405) 812-8898.

What is Kimberley Jarvis'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 Kimberley Jarvis was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.