Active NPI
Holly Rae Spradlin
- Peer Specialist
- Altus, OK
National Provider Identifier
1033924378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Crystal Sowa, CD(DONA)
- Christopher Allan Sparrow, STUDENT PROVIDER
- Specialized Alternatives for Families and Youth of Oklahoma, Inc.
- Susan Elizabeth Spirlock, PT, DPT
- April Danielle Spradlin, R.D./L.D.
- Grant A Spurling, DO
- Meagan Leigh Steen, MS, ATC, LAT
- Manda Lea Stephens, APRN, CNP
- Amanda Marie Stevens, PA-C
- Lisa Elaine Stout, APRN-CNM
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.