1. Home
  2. Directory
  3. Oklahoma
  4. Okmulgee
  5. Peer Specialist
  6. NPI Profile

KYLER CHILDRESS
NPI 1497402366
Peer Specialist in Okmulgee, OK

Active since March 09, 2022
1893 SOUTH WOOD DR, OKMULGEE, OK 74447(918) 282-6444 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2022, Mar 9, 2022 (2 updates tracked since 2022).

About Kyler Childress NPPES

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

KYLER CHILDRESS (NPI 1497402366) is an individual peer specialist in Okmulgee, Oklahoma and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1497402366
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKYLER CHILDRESS
Location Address1893 SOUTH WOOD DROkmulgee, OK 74447
Mailing Address1803south Wood DrOkmukgee, OK 74447
Phone(918) 282-6444
Sole ProprietorYes
Enumeration DateMarch 9, 2022
Last NPPES UpdateApril 18, 20222 updates tracked since enumeration
NPPES CertifiedMarch 30, 2022
✔ NPI 1497402366 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.
1893 SOUTH WOOD DR, Okmulgee, OK 74447
Open in Google Maps ↗

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 Kyler Childress's NPI number?

The NPI number for Kyler Childress is 1497402366. It was assigned to this individual provider in the NPPES registry on March 9, 2022.

Where is Kyler Childress located?

Kyler Childress practices at 1893 South Wood Dr, Okmulgee, OK 74447. The listed phone number is (918) 282-6444.

What is Kyler Childress'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 Kyler Childress was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.