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DESIREE ANN GREEN
NPI 1457150906
Peer Specialist in Pryor, OK

Active since March 10, 2025
1500 E GRAHAM AVE, PRYOR, OK 74361(918) 825-1062 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 13, 2025, Mar 10, 2025 (2 updates tracked since 2025).

About Desiree Ann Green NPPES

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

DESIREE ANN GREEN (NPI 1457150906) is an individual peer specialist in Pryor, Oklahoma and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1457150906
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameDESIREE ANN GREEN
Location Address1500 E GRAHAM AVEPryor, OK 74361-6793
Mailing Address1219 Se 12th StPryor, OK 74361-7228 · (918) 290-8568
Phone(918) 825-1062
Sole ProprietorYes
Enumeration DateMarch 10, 2025
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1457150906 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.
1500 E GRAHAM AVE, Pryor, OK 74361
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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 Desiree Green's NPI number?

The NPI number for Desiree Green is 1457150906. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Desiree Green located?

Desiree Green practices at 1500 E Graham Ave, Pryor, OK 74361. The listed phone number is (918) 825-1062.

What is Desiree Green'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 Desiree Green was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.