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LERON REVAN
NPI 1619864030
Peer Specialist in Tulsa, OK

Active since June 19, 2025
8709 E 60TH ST, TULSA, OK 74145(918) 710-9757(918) 710-9757 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leron Revan NPPES

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

LERON REVAN (NPI 1619864030) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1619864030
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameLERON REVAN
Location Address8709 E 60TH STTulsa, OK 74145-8716
Mailing Address8709 E 60th StTulsa, OK 74145-8716 · (918) 710-9757 · Fax (918) 710-9757
Phone(918) 710-9757
Fax(918) 710-9757
Sole ProprietorYes
Enumeration DateJune 19, 2025
NPPES CertifiedJune 19, 2025
✔ NPI 1619864030 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.
8709 E 60TH ST, Tulsa, OK 74145
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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 Leron Revan's NPI number?

The NPI number for Leron Revan is 1619864030. It was assigned to this individual provider in the NPPES registry on June 19, 2025.

Where is Leron Revan located?

Leron Revan practices at 8709 E 60th St, Tulsa, OK 74145. The listed phone number is (918) 710-9757.

What is Leron Revan'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 Leron Revan was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.