Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639803810 Individual Practitioner Male Practitioner

Nathan Vineyard

Peer Specialist • Ada, OK

Professional Overview & Biography Verified Profile Summary

Nathan Vineyard is a registered healthcare professional specializing in Peer Specialist in Ada, OK. Practice services are available at 301 W 4TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

301 W 4th St

Ada, OK 748203411

Telephone 5802572444
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Ada, OK (5280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Carroll Hill

Peer Specialist

NPI 1053073957
Justin Doty

Counselor - Mental Health

NPI 1093477903
Marissa Brady

Counselor - Mental Health

NPI 1144982141
Cory Cook

Peer Specialist

NPI 1194607804
Brendan Kellogg , BA

Peer Specialist

NPI 1205223815

Bachelor of Arts

Paul Davis

Counselor - Mental Health

NPI 1205598208

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2022

Registered at 301 W 4TH ST, ADA, OK 748203411 (Tel: 5802572444)

📍
Updated Business Mailing Address July 13, 2022

Registered at 301 W 4TH ST, ADA, OK 748203411 (Tel: 5802572444)

👤
Provider Name / Credentials Updated July 13, 2022

Recorded as NATHAN VINEYARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639803810
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2022
Last Update: July 13, 2022
Sole Proprietor: No

Mailing Address

301 W 4th St

Ada, OK 748203411

Phone: 5802572444

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.