Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104496280 Individual Practitioner Female Practitioner

Alexandria Nina Moore

Peer Specialist • Stilwell, OK

Professional Overview & Biography Verified Profile Summary

Alexandria Moore is a registered healthcare professional specializing in Peer Specialist in Stilwell, OK. Practice services are available at 716 S 2ND ST STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

716 S 2nd St Ste 101

Stilwell, OK 749604806

Telephone 9186966212
Associated Practice Facility / Clinic
🏢 Creoks Mental Health Services Facility NPI 1225333826

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Stilwell, OK

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

Practicing in Stilwell, 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: 2021-06-30
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

38 Associated Practitioners
Emma Hatfield

Case Manager/Care Coordinator

NPI 1043155377
Tamesha Nance

Case Manager/Care Coordinator

NPI 1073167318
Julie Barnett

Counselor - Mental Health

NPI 1073721940
NPI 1093190779
Marsha Clinton

Counselor - Mental Health

NPI 1093923989
Jaclyn Rackley

Counselor - Mental Health

NPI 1134440084

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2021

Registered at 716 S 2ND ST STE 101, STILWELL, OK 749604806 (Tel: 9186966212)

📍
Updated Business Mailing Address June 30, 2021

Registered at 3845 SOUTHRIDGE CIR APT 10, TAHLEQUAH, OK 744647955 (Tel: 5619011043)

👤
Provider Name / Credentials Updated June 30, 2021

Recorded as ALEXANDRIA MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration June 30, 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: 1104496280
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: June 30, 2021
Sole Proprietor: No

Mailing Address

3845 Southridge Cir Apt 10

Tahlequah, OK 744647955

Phone: 5619011043

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.