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ETHAN WAYNE HANCOCK
NPI 1861334294
Peer Specialist in Moore, OK

Active since April 06, 2026
2617 ETHAN LN, MOORE, OK 73160(918) 549-8739 Get Directions Write a Review

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

About Ethan Wayne Hancock NPPES

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

ETHAN WAYNE HANCOCK (NPI 1861334294) is an individual peer specialist in Moore, Oklahoma and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1861334294
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameETHAN WAYNE HANCOCK
Location Address2617 ETHAN LNMoore, OK 73160-2390
Mailing Address2617 Ethan LnMoore, OK 73160-2390 · (918) 549-8739
Phone(918) 549-8739
Sole ProprietorNo
Enumeration DateApril 6, 2026
NPPES CertifiedApril 6, 2026
✔ NPI 1861334294 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.
2617 ETHAN LN, Moore, OK 73160
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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 Ethan Hancock's NPI number?

The NPI number for Ethan Hancock is 1861334294. It was assigned to this individual provider in the NPPES registry on April 6, 2026.

Where is Ethan Hancock located?

Ethan Hancock practices at 2617 Ethan Ln, Moore, OK 73160. The listed phone number is (918) 549-8739.

What is Ethan Hancock'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 Ethan Hancock was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.