JIMMIE PETERSON
NPI 1417483405
Peer Specialist in Oklahoma City, OK

NPI Status: Active since May 11, 2017

Contact Information

4913 W RENO AVE
OKLAHOMA CITY, OK
ZIP 73127
Phone: (405) 948-4900
Fax: (405) 948-4933

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Peer Specialist

About JIMMIE PETERSON

This page provides the complete NPI Profile along with additional information for Jimmie Peterson, a provider established in Oklahoma City, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1417483405 assigned on May 2017. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI: 1417483405
Provider Name: JIMMIE PETERSON
Gender: Male
Entity Type: Individual
Location Address: 4913 W RENO AVE OKLAHOMA CITY, OK 73127
Location Phone: (405) 948-4900
Location Fax: (405) 948-4933
Mailing Address: 4913 W RENO AVE OKLAHOMA CITY, OK 73127
Mailing Phone: (405) 948-4900
Is Sole Proprietor?: Yes
Enumeration Date: 05-11-2017
Last Update Date: 12-22-2020
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Location Map

Secondary Locations

12821 Stratford Dr Apt 236
Oklahoma City, OK 73120
(405) 361-9807

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	171M00000X	Other Service Providers	Case Manager/Care Coordinator

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417483405, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 2

Pos 4

Unchanged

Pos 5

Doubled → 8

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 4 → 8 3 → 6 0 → 0