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KANDY WYATT CPRSS
NPI 1477089464
Peer Specialist in Oklahoma City, OK

Active since May 11, 2017
2617 GENERAL PERSHING BLVD, OKLAHOMA CITY, OK 73107(405) 858-2970 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2026, May 11, 2017 (2 updates tracked since 2017).

About Kandy Wyatt Cprss NPPES

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

KANDY WYATT CPRSS (NPI 1477089464) is an individual peer specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (130341) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1477089464
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKANDY WYATTCredential: CPRSS
Location Address2617 GENERAL PERSHING BLVDOklahoma City, OK 73107-6437
Mailing Address2617 General Pershing BlvdOklahoma City, OK 73107-6437 · (405) 858-2970
Phone(405) 858-2970
Sole ProprietorNo
Enumeration DateMay 11, 2017
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1477089464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OK · 130341
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.
2617 GENERAL PERSHING BLVD, Oklahoma City, OK 73107
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Other Names 1

Professional Name (2)Kan Wyatt

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.

MRS. MEGAN ANNE HUNT
Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (801) 668-8351
MEGAN RACHELLE WADSACK LMSW
Social Worker
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
COREY EUGENE NOONER
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
SHAKARA DANIELLE WALKER
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-1700
MRS. AMBER NICHOLE SULLIVAN MAXWELL MA LPC
Counselor (Mental Health)
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-1700
JESSICA LEIGH HELMKA MA, LADC CANDIDATE
Counselor
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 589-8553
AVERY JOEL FENNELL
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2700
MRS. ANNA LISA PHILLIPS
Peer Specialist
2617 GENERAL PERSHING BLVD
OKLAHOMA CITY, OK 73107
Oklahoma County (405) 858-2794

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 Kandy Wyatt's NPI number?

The NPI number for Kandy Wyatt is 1477089464. It was assigned to this individual provider in the NPPES registry on May 11, 2017. The provider is also known as Kan Wyatt.

Where is Kandy Wyatt located?

Kandy Wyatt practices at 2617 General Pershing Blvd, Oklahoma City, OK 73107. The listed phone number is (405) 858-2970.

What is Kandy Wyatt'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 Kandy Wyatt was last updated on June 2, 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.