Gabrielle Dudley Whealton

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

00003597629 Issued in NC

Practice address

14400 Bogert Pkwy
Oklahoma City, OK 73134-2652

Phone

(252) 431-4416

NPI assigned

Nov 2, 2023

Sex

Female

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

State licenses

Practice roles

Locations

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

• Hope Is Alive Ministries Inc

  • Substance Abuse Rehabilitation Facility
  • Oklahoma City, OK
  • NPI 1033998109
  NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1902679871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W ORLANDO ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111490",
            "telephone_number": "252-431-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 BOGERT PKWY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342652",
            "telephone_number": "252-431-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEALTON",
        "first_name": "GABRIELLE",
        "middle_name": "DUDLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NC",
            "license": "00003597629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andie Renee Whalen, PA-C
• Grace Whaley
• Ohnre' Jerome Whaley, M.ED, MHR, LPC
• Cody Tyson Whatley, MD, MPH, CPH
• Victoria Anna Whatley, LPC-S
• Brady B Wheat
• Madison Layne Wheat, LCSW
• Alex Dale Wheatley
• Crystiana Shacarl Wheaton
• Wheeler and Stuckey, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.