Destiny Benson
Individual provider Active NPI Peer Specialist · Red Oak, OK
NPI 1427807643 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1427807643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 203 SW 2ND St
Red Oak, OK 74563-2417 - Phone
- (918) 625-0971
- NPI assigned
- May 20, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
203 SW 2ND St
Red Oak, OK 74563-2417
Mailing address
203 SW 2ND St
Red Oak, OK 74563-2417
Other providers in Red Oak, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.