MR. TOD W TEVEBAUGH - NPI 1558105239 - Peer Specialist in Stillwater, OK

Q: What is Tod Tevebaugh's NPI number?

The NPI number for Tod Tevebaugh is 1558105239. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Q: What is Tod Tevebaugh's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Tod Tevebaugh was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Mr. Tod W Tevebaugh NPPES

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

MR. TOD W TEVEBAUGH (NPI 1558105239) is an individual peer specialist in Stillwater, Oklahoma and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1558105239

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. TOD W TEVEBAUGH

Location Address421 E THOMAS AVEStillwater, OK 74075-2600

Mailing Address421 E Thomas AveStillwater, OK 74075-2600 · (405) 372-7791 · Fax (405) 372-7776

Phone(405) 372-7791

Fax(405) 372-7776

Sole ProprietorYes

Enumeration DateJune 19, 2024

NPPES CertifiedJune 19, 2024

✔ NPI 1558105239 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.

421 E THOMAS AVE, Stillwater, OK 74075

Open in Google Maps ↗

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.

MS. DANA MASHELL DAWES

Case Manager/Care Coordinator