Spencer Cheyenne Bakke

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1622 S 4275
Pryor, OK 74361-7827

Phone

(918) 373-5788

NPI assigned

Jul 25, 2024

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": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1316775745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 S 4275",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743617827",
            "telephone_number": "918-373-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 S 4275",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743617827",
            "telephone_number": "918-373-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKKE",
        "first_name": "SPENCER",
        "middle_name": "CHEYENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Robinson Ashby Jr., BHRS
• Av Medical PLLC
• B & E Medical Equipment Inc
• Katherine A Baker, RN
• Kelsey Brielle Baker
• Nicole D Ballou
• Baptist Healthcare of Oklahoma
• Nickia Renee Barbee
• Cray MK Barnett
• Paul Edward Battles, DO

• All providers in Pryor, OK
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.