JERRY W. WHITE TAIL
NPI 1891524351
Peer Specialist in Oklahoma City, OK

Active since July 31, 2024
1501 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106(405) 235-5671 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jerry W. White Tail NPPES

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

JERRY W. WHITE TAIL (NPI 1891524351) is an individual peer specialist in Oklahoma City, Oklahoma and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1891524351
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJERRY W. WHITE TAIL
Location Address1501 N CLASSEN BLVDOklahoma City, OK 73106-6611
Mailing Address1501 N Classen BlvdOklahoma City, OK 73106-6611 · (405) 235-5671
Sole ProprietorYes
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
NPI 1891524351 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.

1501 N CLASSEN BLVD, Oklahoma City, OK 73106

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.

Case Manager/Care Coordinator
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Peer Specialist
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Case Management
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Peer Specialist
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Peer Specialist
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Peer Specialist
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Peer Specialist
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106
Social Worker
1501 N CLASSEN BLVD
OKLAHOMA CITY, OK 73106

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 Jerry White Tail's NPI number?

The NPI number for Jerry White Tail is 1891524351. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Jerry White Tail located?

Jerry White Tail practices at 1501 N Classen Blvd, Oklahoma City, OK 73106. The listed phone number is (405) 235-5671.

What is Jerry White Tail'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 Jerry White Tail was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.