Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194304451 Individual Practitioner Female Practitioner

Mackenzie Linn Washa

Peer Specialist • Concho, OK

Professional Overview & Biography Verified Profile Summary

Mackenzie Washa is a registered healthcare professional specializing in Peer Specialist in Concho, OK. Practice services are available at 100 RED MOON CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Red Moon Circle
Tribal Opioid Response Project

Concho, OK 730227302

Telephone 4054227452
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Concho, OK

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

Practicing in Concho, 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: 2021-03-15
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OK D083324170

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

2 Associated Practitioners
Casandra Fraser

Peer Specialist

NPI 1396487997
Barry Botone , PRSS

Peer Specialist

NPI 1407541618

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 05, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2021

Registered at 100 RED MOON CIRCLE, TRIBAL OPIOID RESPONSE PROJECT, CONCHO, OK 730227302 (Tel: 4054227452)

📍
Updated Business Mailing Address April 05, 2021

Registered at 100 RED MOON CIRCLE, TRIBAL OPIOID RESPONSE PROJECT, CONCHO, OK 73022 (Tel: 4054227452)

👤
Provider Name / Credentials Updated April 05, 2021

Recorded as MACKENZIE WASHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2021

Peer Specialist (License #D083324170 in OK)

🟢
Initial NPI Registration & Enumeration April 05, 2021

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: 1194304451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2021
Last Update: April 05, 2021
Sole Proprietor: No

Mailing Address

100 Red Moon Circle, Tribal Opioid Response Project

Concho, OK 73022

Phone: 4054227452

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.