Chrysanthemum Jade Ewertz

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

8017 NW 114TH St
Oklahoma City, OK 73162-2002

Phone

(405) 209-0799

NPI assigned

Oct 6, 2025

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chrysanhemum Bowens Former name

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1548135171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8017 NW 114TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8017 NW 114TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731622002",
            "telephone_number": "405-209-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWERTZ",
        "first_name": "CHRYSANTHEMUM",
        "middle_name": "JADE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSANHEMUM",
            "last_name": "BOWENS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Peer Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.