William Blaine Paulino

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1202 SW a Ave
Lawton, OK 73501-3821

Phone

(580) 357-8114

NPI assigned

Feb 18, 2025

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roadback Incorporated

  • Substance Abuse Rehabilitation Facility
  • Lawton, OK
  • NPI 1467470310
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1871398370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42015 COUNTY STREET 2720",
            "city": "CEMENT",
            "state": "OK",
            "postal_code": "730174003",
            "telephone_number": "405-829-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SW A AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013821",
            "telephone_number": "580-357-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULINO",
        "first_name": "WILLIAM",
        "middle_name": "BLAINE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L. Rembert-Anderson, LPC, Counseling, P.L.L.C.
• Patrick R. Montgomery, D.D.S.
• Tracie L Patten, PHARMD
• Adrean Patton
• Paul Hou, DC, PC
• Bayley Pawlowski
• Brittney Payette
• Erin R Payne, COTA/L
• Ryan Payne
• PBHC Laboratories

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.