Individual provider Active NPI

Dayna Lynn Peacock, RCP,RRT

  • Pulmonary Rehabilitation Registered Respiratory Therapist
  • Cushing, OK
National Provider Identifier
1669623617
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X
License
2490 Issued in OK
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

Updated by the provider on Oct 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2490OtherOKOKLAHOMA STATE MEDICAL LICENSE

Other names 1

  • Mrs. Dayna Lynn Glimp-Peacock Professional name

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

LicenseStateTypeSpecialty
2490OKMDPulmonary 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.

Verify at the official NPI Registry.