Paul Peters

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

5644 S Yorktown PL
Tulsa, OK 74105-6118

Phone

(281) 788-9077

NPI assigned

Aug 30, 2023

Sex

Male

Sole proprietor

Yes

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": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1497530117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7661 AMESWOOD RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770953301",
            "telephone_number": "281-788-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5644 S YORKTOWN PL",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741056118",
            "telephone_number": "281-788-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jo Peters-Ebel
• David Keith Peters, LCSW
• Kayleigh Peters
• Kristen Peters, PA-C
• Michelle S. Peters, DNP, APRN-CNP
• Precious Peters
• Shannen Michon Peters
• Sherelle Mignon Peters
• Victoria Lee Peters, LPC
• Walter James Peters Jr., MD

• Peer Specialist in Tulsa, OK
• Providers in Tulsa, 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 30, 2023; 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.