Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053056952 Individual Practitioner Female Practitioner

Sherry Rae Russo

Peer Specialist • Antlers, OK

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Sherry Russo is a registered healthcare professional specializing in Peer Specialist in Antlers, OK. Official NPI practice address is registered at 107 S HIGH ST.

Practice Location & Contact Primary Location

Practice Address

107 S High St

Antlers, OK 745233818

Telephone 5802982830
Fax 5802986723
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Antlers, OK

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

Practicing in Antlers, 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: 2024-04-15
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

35 Associated Practitioners
Stephanie Hampton

Health Educator

NPI 1073007258
Casey Ketchum , BA

Peer Specialist

NPI 1083543136

Bachelor of Arts

Tabatha Foust

Counselor - Professional

NPI 1093977787
Jesika Young

Health Educator

NPI 1104213040
Deidra Dewitt

Counselor - Mental Health

NPI 1124560610
Jasmine Dirks

Case Manager/Care Coordinator

NPI 1134627524

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated April 15, 2024

Recorded as SHERRY RUSSO

NPI Profile Active May 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2022

Registered at 107 S HIGH ST, ANTLERS, OK 745233818 (Tel: 5802982830)

📍
Updated Business Mailing Address May 04, 2022

Registered at 107 S HIGH ST, ANTLERS, OK 745233818

👤
Provider Name / Credentials Updated May 04, 2022

Recorded as SHERRY NORED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 04, 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: 1053056952
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2022
Last Update: April 15, 2024
Sole Proprietor: Yes

Mailing Address

107 S High St

Antlers, OK 745233818

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.