Jackie Cloyd

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

216 S Main St
Hobart, OK 73651-3628

Phone

(580) 323-9747

NPI assigned

Aug 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1164035176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 856",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736510856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 S MAIN ST",
            "city": "HOBART",
            "state": "OK",
            "postal_code": "736513628",
            "telephone_number": "580-323-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOYD",
        "first_name": "JACKIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Bredy, M ED LPC
• Sarah Brown, LMSW
• Sydney Renae Burke
• Bethany Nicole Bush, M.S., CCC-SLP
• Savanna Clifford
• Jerry Gale Davidson, P.A.
• Sam Davidson, BS
• Elkview Physician Group
• Shanda Fesmire
• Jari J. Frazier, O.D.

• Peer Specialist in Hobart, OK
• Providers in Hobart, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.