Individual provider Active NPI

Richard Kevin Day

  • Peer Specialist
  • Tulsa, OK
National Provider Identifier
1356932081
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
132116 Issued in OK
Practice address
1728 S Carson Ave
Tulsa, OK 74119-4610
Phone
(918) 406-3420
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Religious Nonmedical Practitioner 374K00000X
Peer Specialist 175T00000X
Peer Specialist 175T00000X 132116 OK Primary

Addresses

Primary practice location

1728 S Carson Ave
Tulsa, OK 74119-4610

Mailing address

11680 S 153Rd West Ave
Sapulpa, OK 74066-8564
Phone (918) 639-4684

Other practice location 1

11680 S 153rd West Ave
Sapulpa, OK 74066-8564
Phone (918) 639-4684

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

State licenses

LicenseStateTypeSpecialty
132116OKMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifegate Freedom Recovery Ministries, Inc. CurrentSince Jan 31, 2021 Accepting new patients

Locations

11680 S 153rd West Ave
Sapulpa, OK 74066
Phone (918) 512-6273

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1356932081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11680 S 153RD WEST AVE",
            "city": "SAPULPA",
            "state": "OK",
            "postal_code": "740668564",
            "telephone_number": "918-639-4684",
            "fax_number": "918-512-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 S CARSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741194610",
            "telephone_number": "918-406-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11680 S 153rd West Ave",
            "address_purpose": "LOCATION",
            "city": "Sapulpa",
            "state": "OK",
            "postal_code": "740668564",
            "country_code": "US",
            "telephone_number": "918-639-4684",
            "fax_number": "918-512-6320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAY",
        "first_name": "RICHARD",
        "middle_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": "132116",
            "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 Jan 16, 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.