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STACY RAYE NIMMO
NPI 1770331597
Peer Specialist in Tulsa, OK

Active since May 07, 2024
808 S PEORIA AVE, TULSA, OK 74120(918) 281-8500 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 16, 2024, May 7, 2024 (2 updates tracked since 2024).

About Stacy Raye Nimmo NPPES

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

STACY RAYE NIMMO (NPI 1770331597) is an individual peer specialist in Tulsa, Oklahoma and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1770331597
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTACY RAYE NIMMO
Location Address808 S PEORIA AVETulsa, OK 74120-4427
Mailing Address808 S Peoria AveTulsa, OK 74120-4427 · (918) 281-8500
Phone(918) 281-8500
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
✔ NPI 1770331597 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.
808 S PEORIA AVE, Tulsa, OK 74120
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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.

MS. TINA DENISE WILLIAMS BA
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 587-9471
HALEE DAWN COMIFORD
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 281-8500
MRS. SHEILA RENEE HARBERT THERAPIST I, LMSW-P
Social Worker
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 560-1325
MR. BRIAN B JONES
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 560-1339
ANGELA DELYNN DEJACIMO
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 281-8500
ABIGAIL SHAW
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 264-5200
AMY N KNUCKLES
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 281-8500
ALLISON ANN BRAMBL
Case Manager/Care Coordinator
808 S PEORIA AVE
TULSA, OK 74120
Tulsa County (918) 560-1126

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 Stacy Nimmo's NPI number?

The NPI number for Stacy Nimmo is 1770331597. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Stacy Nimmo located?

Stacy Nimmo practices at 808 S Peoria Ave, Tulsa, OK 74120. The listed phone number is (918) 281-8500.

What is Stacy Nimmo'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 Stacy Nimmo was last updated on May 20, 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.