KHIARA WILDMAN CRM
NPI 1841942844
Peer Specialist in Eugene, OR
- Individual
- Female
- Peer Specialist
About KHIARA WILDMAN
This page provides the complete NPI Profile along with additional information for Khiara Wildman, a provider established in Eugene, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1841942844 assigned on January 2022. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 5 years ago. Khiara Wildman operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization.
- NPI
- 1841942844 Verify this NPI
- Provider Name
- KHIARA WILDMAN CRM
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 350 E 11TH AVE EUGENE, OR 97401
- Location Phone
- (541) 257-7313
- Mailing Address
- 630 E 14TH AVE APT 3 EUGENE, OR 97401
- Mailing Phone
- (541) 650-4672
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-20-2022
- Last Update Date
- 01-20-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| AM56847E | MEDICAID (05) | OR |
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
EUGENE, OR 97401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841942844, enumerated as an "individual" on January 20, 2022.
The provider is located at 350 E 11TH AVE EUGENE, OR 97401 and the phone number is (541) 257-7313.
Peer Specialist with taxonomy code 175T00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
