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NATHAN VINEYARD
NPI 1639803810
Peer Specialist in Ada, OK

Active since July 13, 2022

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathan Vineyard NPPES

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

NATHAN VINEYARD (NPI 1639803810) is an individual peer specialist in Ada, Oklahoma and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1639803810
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNATHAN VINEYARD
Location Address301 W 4TH STAda, OK 74820-3411
Mailing Address301 W 4th StAda, OK 74820-3411 · (580) 257-2444
Phone(580) 257-2444
Sole ProprietorNo
Enumeration DateJuly 13, 2022
NPPES CertifiedJuly 13, 2022
✔ NPI 1639803810 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.
301 W 4TH ST, Ada, OK 74820
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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.

LIGHTHOUSE BEHAVIORAL WELLNESS CENTERS
Clinic/Center (Mental Health (Including Community Mental Health Center))
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
CARROLL DAVID HILL
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
JUSTIN DOTY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
ASHLEY HYSTEN
Peer Specialist
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
SARA MORGAN
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
MARISSA BRADY
Counselor (Mental Health)
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 257-2444
GEORGE BURR II
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690
ASHLYN PETERSON
Case Manager/Care Coordinator
301 W 4TH ST
ADA, OK 74820
Pontotoc County (580) 436-2690

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 Nathan Vineyard's NPI number?

The NPI number for Nathan Vineyard is 1639803810. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Nathan Vineyard located?

Nathan Vineyard practices at 301 W 4th St, Ada, OK 74820. The listed phone number is (580) 257-2444.

What is Nathan Vineyard'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 Nathan Vineyard was last updated on July 13, 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.