Dena Marie Wiley

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1803 S Wood Dr
Okmulgee, OK 74447-6825

Phone

(918) 756-9250

Fax

(918) 756-9187

NPI assigned

Jan 13, 2023

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

Electronic endpoints 1

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1558076505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 WASHINGTON AVE",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740637927",
            "telephone_number": "918-933-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 S WOOD DR",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744476825",
            "telephone_number": "918-756-9250",
            "fax_number": "918-756-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "denamarie3362@gmail.com",
            "affiliation": "N",
            "address_1": "1803 S Wood Dr",
            "city": "Okmulgee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744476825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ward and Hall, PC
• James Allen Ward, O.D.
• Heath Wells, M.S., CTRS
• Billie Whitehead, BHWC
• Charles Whittaker II
• Matthew Hallett Wiley, D.O.
• Helen Willet
• Laresa Williams, APRN
• Sheamekah Sheree Williams
• Heather Willis, PHARM D

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.