Dustin Rose
Individual provider Active NPI Peer Specialist · Lexington, OK
NPI 1003572124 · NPPES record last updated Nov 12, 2021
Key facts
- NPI
- 1003572124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 104 Owens St
Lexington, OK 73051-9572 - Phone
- (405) 837-5821
- NPI assigned
- Nov 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
104 Owens St
Lexington, OK 73051-9572
Mailing address
104 Owens St
Lexington, OK 73051-9572
Other providers in Lexington, OK
- Bonnie Parsons
- Cheryl Renee Partridge
- Rhonda Gaye Pruett
- Kelly Dee Rabe
- Shara Marie Rollins
- Evelyn Abella Schreiner
- Speech Hollow, LLC
- Thrivekids OT PLLC
- Floyd Trent Todd
- Kathryn Velasco
All providers in Lexington, OK · Peer Specialist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.