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AMANDA DAWN J. LEWIS
NPI 1629871769
Peer Specialist in Wagoner, OK

Active since March 31, 2025
215 NE 1ST ST, WAGONER, OK 74467(918) 201-4333 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Dawn J. Lewis NPPES

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

AMANDA DAWN J. LEWIS (NPI 1629871769) is an individual peer specialist in Wagoner, Oklahoma and active in the NPI registry since March 2025. She maintains a secondary practice location in Tahlequah.

NPPES Registry Identity

NPI1629871769
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA DAWN J. LEWIS
Location Address215 NE 1ST STWagoner, OK 74467-4439
Mailing Address215 Ne 1st StWagoner, OK 74467-4439 · (918) 201-4333
Phone(918) 201-4333
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1629871769 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.
215 NE 1ST ST, Wagoner, OK 74467
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Secondary Practice Location 1

Location 1113 W Keetoowah StTahlequah, OK 74464-3819 · Phone (918) 931-3700

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDRA RENA' THOMAS
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
ROBERT DOYAL LITTLEJOHN
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
MR. EDWARD EARL LINDSEY JR.
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
SARAH ELIZABETH DOAK
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
AMANDA LEEANN MOORE GED
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
KIMBERLEY JOYE HADRAVA
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
DEVIN LEE POTTS I
Counselor
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333
MARY SUSAN MCVAY
Peer Specialist
215 NE 1ST ST
WAGONER, OK 74467
Wagoner County (918) 201-4333

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 Amanda Lewis's NPI number?

The NPI number for Amanda Lewis is 1629871769. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Amanda Lewis located?

Amanda Lewis practices at 215 NE 1st St, Wagoner, OK 74467. The listed phone number is (918) 201-4333.

What is Amanda Lewis'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 Amanda Lewis was last updated on March 31, 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.