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KEEGAN EISENHARDT
NPI 1861002818
Peer Specialist in Oklahoma City, OK

Active since August 05, 2020
6405 S VILLA AVE, OKLAHOMA CITY, OK 73159(405) 905-0285 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keegan Eisenhardt NPPES

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

KEEGAN EISENHARDT (NPI 1861002818) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1861002818
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEEGAN EISENHARDT
Location Address6405 S VILLA AVEOklahoma City, OK 73159-2741
Mailing Address6405 S Villa AveOklahoma City, OK 73159-2741 · (405) 905-0285
Phone(405) 905-0285
Sole ProprietorYes
Enumeration DateAugust 5, 2020
NPPES CertifiedAugust 5, 2020
✔ NPI 1861002818 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.
6405 S VILLA AVE, Oklahoma City, OK 73159
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Keegan Eisenhardt's NPI number?

The NPI number for Keegan Eisenhardt is 1861002818. It was assigned to this individual provider in the NPPES registry on August 5, 2020.

Where is Keegan Eisenhardt located?

Keegan Eisenhardt practices at 6405 S Villa Ave, Oklahoma City, OK 73159. The listed phone number is (405) 905-0285.

What is Keegan Eisenhardt'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 Keegan Eisenhardt was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.