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SUSAN NICKELBERRY
NPI 1659803005
Peer Specialist in Oklahoma City, OK

Active since April 03, 2017
1316 SW BINKLEY ST, OKLAHOMA CITY, OK 73119(405) 410-4226 Get Directions Write a Review

NPPES record last updated: April 3, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Susan Nickelberry NPPES

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

SUSAN NICKELBERRY (NPI 1659803005) is an individual peer specialist in Oklahoma City, Oklahoma, licensed in Oklahoma (R082786016) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1659803005
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSUSAN NICKELBERRY
Location Address1316 SW BINKLEY STOklahoma City, OK 73119-2323
Mailing Address1316 Sw Binkley StOklahoma City, OK 73119-2323 · (405) 410-4226
Phone(405) 410-4226
Sole ProprietorYes
Enumeration DateApril 3, 2017
✔ NPI 1659803005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OK · R082786016
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.
1316 SW BINKLEY ST, Oklahoma City, OK 73119
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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 Susan Nickelberry's NPI number?

The NPI number for Susan Nickelberry is 1659803005. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Susan Nickelberry located?

Susan Nickelberry practices at 1316 SW Binkley St, Oklahoma City, OK 73119. The listed phone number is (405) 410-4226.

What is Susan Nickelberry'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 Susan Nickelberry was last updated on April 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.