Individual provider Active NPI

Holly Rae Spradlin

  • Peer Specialist
  • Altus, OK
National Provider Identifier
1033924378
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
615 N Main St
Altus, OK 73521-3111
Phone
(580) 318-2001
NPI assigned
Feb 12, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

615 N Main St
Altus, OK 73521-3111

Mailing address

16085 S County Road 2015
Altus, OK 73521-8276
Phone (580) 318-2001

Other practice location 1

218 W Cypress St
Altus, OK 73521-3704
Phone (580) 643-9038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1033924378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16085 S COUNTY ROAD 2015",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735218276",
            "telephone_number": "580-318-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213111",
            "telephone_number": "580-318-2001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Altus",
            "state": "OK",
            "postal_code": "735213704",
            "country_code": "US",
            "telephone_number": "580-643-9038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRADLIN",
        "first_name": "HOLLY",
        "middle_name": "RAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altus, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.