Jake Curtis Bacon Sr.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6720 E 69TH St
Tulsa, OK 74133-1731

Phone

(539) 322-8409

NPI assigned

Dec 26, 2025

Sex

Male

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": "1766707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1538025259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 E 69TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331731",
            "telephone_number": "539-322-8409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 E 69TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331731",
            "telephone_number": "539-322-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "JAKE",
        "middle_name": "CURTIS",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talitha S. Bachmann, L.PC, NCC
• Joseph John Back, DO
• Stephen Arthur Back, D.O.
• Chloe Backhaus-Vogt
• Shelby Lynn Backward
• Kathryn Bacon, M.ED. CCC-SLP
• Olivia Paige Bacon
• Chloe Badertscher
• Conner Jackson Badiyan
• Angela Badsch, DO

• 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 Dec 26, 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.