David Wayne Easley
Peer Specialist • Tahlequah, OK
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, David Easley has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
David Easley was a registered Peer Specialist practicing in Tahlequah, OK. Throughout an active medical career spanning 1 years, David Easley provided care at the practice location at 1300 NOLA AVE APT 12A until profile deactivation on 2024-04-04.
Practice Location & Contact Primary Location
1300 Nola Ave Apt 12a
Tahlequah, OK 744645252
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Tahlequah, OK
Practicing in Tahlequah, OK (5280 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-05-07NUCC 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.
Career & Practice History Timeline
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Registered at 1300 NOLA AVE APT 12A, TAHLEQUAH, OK 744645252 (Tel: 9188406650)
Registered at 1300 NOLA AVE APT 12A, TAHLEQUAH, OK 744645252 (Tel: 9188406650)
Recorded as DAVID EASLEY
Peer Specialist
Record deactivated on April 04, 2024
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1300 Nola Ave Apt 12a
Tahlequah, OK 744645252
Phone: 9188406650
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