Active NPI
Dayna Lynn Peacock, RCP,RRT
- Pulmonary Rehabilitation Registered Respiratory Therapist
- Cushing, OK
National Provider Identifier
1669623617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Rehabilitation Registered Respiratory Therapist
- License
- 2490
- Practice address
- 1023 E Cherry St
Cushing, OK 74023-4105 - Phone
- (918) 225-8208
- Fax
- (918) 225-8209
- NPI assigned
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Respiratory Therapist | 227900000X | 2490 | OK | |
| Pulmonary Rehabilitation Registered Respiratory Therapist | 2279P1005X | 2490 | OK | Primary |
Addresses
Primary practice location
1023 E Cherry St
Cushing, OK 74023-4105
Mailing address
6767 S Yale Ave
Suite B
Tulsa, OK 74136-3302
Phone (918) 488-9992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2490 | Other | OK | OKLAHOMA STATE MEDICAL LICENSE |
Other names 1
- Mrs. Dayna Lynn Glimp-Peacock
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2490 | OK | MD | Pulmonary Rehabilitation Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1669623617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6767 S YALE AVE",
"address_2": "SUITE B",
"city": "TULSA",
"state": "OK",
"postal_code": "741363302",
"telephone_number": "918-488-9992",
"fax_number": "918-488-9993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 E CHERRY ST",
"city": "CUSHING",
"state": "OK",
"postal_code": "740234105",
"telephone_number": "918-225-8208",
"fax_number": "918-225-8209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "DAYNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RCP,RRT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "OK",
"license": "2490",
"primary": false
},
{
"code": "2279P1005X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
"state": "OK",
"license": "2490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE MEDICAL LICENSE",
"identifier": "2490",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAYNA",
"last_name": "GLIMP-PEACOCK",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "RCP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cushing, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.