RANDY VINCENT GRIMES
NPI 1972280857
Peer Specialist in Vinita, OK
- Individual
- Male
- Peer Specialist
About RANDY GRIMES
This page provides the complete NPI Profile along with additional information for Randy Grimes, a provider established in Vinita, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1972280857 assigned on July 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1972280857 Verify this NPI
- Provider Name
- RANDY VINCENT GRIMES
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 405 E EXCELSIOR AVE VINITA, OK 74301
- Location Phone
- (918) 256-6476
- Location Fax
- (918) 256-3628
- Mailing Address
- 405 E EXCELSIOR AVE VINITA, OK 74301
- Mailing Phone
- (918) 256-6476
- Mailing Fax
- (918) 256-3628
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2023
- Last Update Date
- 07-09-2023
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972280857, enumerated as an "individual" on July 03, 2023.
The provider is located at 405 E EXCELSIOR AVE VINITA, OK 74301 and the phone number is (918) 256-6476.
Peer Specialist with taxonomy code 175T00000X.
