Active NPI
Jardin Anthony Lazarre
- Peer Specialist
- Oklahoma City, OK
National Provider Identifier
1831078609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 1812 NW 39TH St Apt 205
Oklahoma City, OK 73118-2646 - Phone
- (405) 977-7097
- Fax
- (405) 977-7097
- NPI assigned
- Aug 27, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
1812 NW 39TH St Apt 205
Oklahoma City, OK 73118-2646
Mailing address
915 N Robinson Ave
Oklahoma City, OK 73102-5813
Phone (405) 943-3700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1831078609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N ROBINSON AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731025813",
"telephone_number": "405-943-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 NW 39TH ST APT 205",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731182646",
"telephone_number": "405-977-7097",
"fax_number": "405-977-7097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARRE",
"first_name": "JARDIN",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-27",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.