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GRANT RUSSELL GREEN
NPI 1750139705
Peer Specialist in Oklahoma City, OK

Active since May 06, 2024
14400 BOGERT PKWY, OKLAHOMA CITY, OK 73134(405) 640-2281 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grant Russell Green NPPES

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

GRANT RUSSELL GREEN (NPI 1750139705) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1750139705
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGRANT RUSSELL GREEN
Location Address14400 BOGERT PKWYOklahoma City, OK 73134-2652
Mailing Address14400 Bogert PkwyOklahoma City, OK 73134-2652 · (405) 640-2281
Phone(405) 640-2281
Sole ProprietorYes
Enumeration DateMay 6, 2024
NPPES CertifiedMay 6, 2024
✔ NPI 1750139705 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.
14400 BOGERT PKWY, Oklahoma City, OK 73134
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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.

KEVIN BAILEY KOHS
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 684-7812
HOPE IS ALIVE MINISTRIES INC
Substance Abuse Rehabilitation Facility
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 249-7297
JENNA L KEMP
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (316) 519-6278
BRANDON HOWLAND
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (918) 805-2056
AMANDA LEE ONEAL
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (910) 956-7144
AMANDA WHITE
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (844) 346-7366
THOMAS JOHN TOMLIN
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (405) 315-2087
TREVOR BLAINE MATHIS
Peer Specialist
14400 BOGERT PKWY
OKLAHOMA CITY, OK 73134
Oklahoma County (214) 980-3711

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 Grant Green's NPI number?

The NPI number for Grant Green is 1750139705. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Grant Green located?

Grant Green practices at 14400 Bogert Pkwy, Oklahoma City, OK 73134. The listed phone number is (405) 640-2281.

What is Grant Green'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 Grant Green was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.