Active NPI
Paisley Kliewer
- Peer Specialist
- Tulsa, OK
National Provider Identifier
1104624014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 6111 E Skelly Dr
Tulsa, OK 74135-6100 - Phone
- (844) 458-2100
- NPI assigned
- Mar 5, 2025
- Sex
- Female
- Sole proprietor
- No
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6111 E Skelly Dr
Tulsa, OK 74135-6100
Mailing address
1617 S Elwood Ave Apt 3
Tulsa, OK 74119-4262
Phone (405) 802-6001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2025.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1104624014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 S ELWOOD AVE APT 3",
"city": "TULSA",
"state": "OK",
"postal_code": "741194262",
"telephone_number": "405-802-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6111 E SKELLY DR",
"city": "TULSA",
"state": "OK",
"postal_code": "741356100",
"telephone_number": "844-458-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIEWER",
"first_name": "PAISLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.