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SAMANTHA STARK
NPI 1790498269
Peer Specialist in Oklahoma City, OK

Active since December 29, 2022
3308 SE 89TH ST TRLR 448, OKLAHOMA CITY, OK 73135(405) 861-9982 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Stark NPPES

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

SAMANTHA STARK (NPI 1790498269) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1790498269
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSAMANTHA STARK
Location Address3308 SE 89TH ST TRLR 448Oklahoma City, OK 73135-6237
Mailing Address3308 Se 89th St Trlr 448Oklahoma City, OK 73135-6237 · (405) 861-9982
Phone(405) 861-9982
Sole ProprietorYes
Enumeration DateDecember 29, 2022
NPPES CertifiedDecember 29, 2022
✔ NPI 1790498269 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.
3308 SE 89TH ST TRLR 448, Oklahoma City, OK 73135
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PAULA MARIE DULANEY
Case Manager/Care Coordinator
3308 SE 89TH ST TRLR 448
OKLAHOMA CITY, OK 73135
Oklahoma County (619) 306-8347

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 Samantha Stark's NPI number?

The NPI number for Samantha Stark is 1790498269. It was assigned to this individual provider in the NPPES registry on December 29, 2022.

Where is Samantha Stark located?

Samantha Stark practices at 3308 SE 89th St Trlr 448, Oklahoma City, OK 73135. The listed phone number is (405) 861-9982.

What is Samantha Stark'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 Samantha Stark was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.