Stetson Americanhorse
Individual provider Active NPI Peer Specialist · Tulsa, OK
NPI 1881486546 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1881486546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 7210 S Yale Ave
Tulsa, OK 74136-6319 - Phone
- (918) 716-5447
- NPI assigned
- May 20, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
7210 S Yale Ave
Tulsa, OK 74136-6319
Mailing address
12700 E 100St N
2-303
Owasso, OK 74055
Phone (918) 331-7205
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.