Kristi Michelle Evans X

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

20111 Roman Rd
Harrah, OK 73045-9641

Phone

(661) 604-3591

Fax

(661) 604-3591

NPI assigned

Jun 11, 2025

Last updated

Jun 11, 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

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": "1749600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1629963301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 ROMAN RD",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459641",
            "telephone_number": "661-604-3591",
            "fax_number": "661-604-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 ROMAN RD",
            "city": "HARRAH",
            "state": "OK",
            "postal_code": "730459641",
            "telephone_number": "661-604-3591",
            "fax_number": "661-604-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "name_suffix": "X",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Dickey, PA-C
• Douglas Menz, D.O. P.C. (Lake Pointe Medical Center)
• Ceferino Dumanas Jr.
• Dynamic Health Clinic (Harrah Chiropractic)
• Eric D Kyrk DDS PC (Harrah Family Dentistry)
• Stephen Wade Ford, D.PH.
• Jennifer Glenn, APRN-CNP
• Aphrodite Gonzalez
• Dona L Greenhoward, RPT/M.ED
• Tyler Kincaid Haderer, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.