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MR. NATHANIEL MAQUES MOORE
NPI 1710733613
Peer Specialist in Vinita, OK

Active since April 30, 2024
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 273-1841(918) 273-1843 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Apr 30, 2024 (2 updates tracked since 2024).

About Mr. Nathaniel Maques Moore NPPES

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

MR. NATHANIEL MAQUES MOORE (NPI 1710733613) is an individual peer specialist in Vinita, Oklahoma and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1710733613
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. NATHANIEL MAQUES MOORE
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address705 S Virginia AveBartlesville, OK 74003-4439 · (918) 337-8080
Phone(918) 273-1841
Fax(918) 273-1843
Sole ProprietorNo
Enumeration DateApril 30, 2024
Last NPPES UpdateJune 2, 20262 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
✔ NPI 1710733613 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.
405 E EXCELSIOR AVE, Vinita, OK 74301
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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.

ANISSA MARIE MAYHEW
Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 245-6476
KARLEE GIBSON
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
CHRSITINA HART
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
JUSTIN LYNN CICOTTE
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
STEVEN RAY COATNEY
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
ELISABETH TENNEH BIMBA
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
KIMBERLY ANN CASHION
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 344-1577
CHRYSTAL BRASSFIELD MS
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476

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 Nathaniel Moore's NPI number?

The NPI number for Nathaniel Moore is 1710733613. It was assigned to this individual provider in the NPPES registry on April 30, 2024.

Where is Nathaniel Moore located?

Nathaniel Moore practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 273-1841.

What is Nathaniel Moore'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 Nathaniel Moore was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.