Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770307662 Individual Practitioner

Courtney Lanae Moore

Peer Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Courtney Moore is a registered healthcare professional specializing in Peer Specialist in Tulsa, OK. Practice services are available at 3445 S SHERIDAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3445 S Sheridan Rd

Tulsa, OK 741451105

Telephone 9186103366
Fax 9186103344
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Tulsa, OK

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

Practicing in Tulsa, 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: 2024-11-08
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

34 Associated Practitioners
Karen Adams , LPN

Licensed Practical Nurse

NPI 1053036608

Licensed Practical Nurse

Jennifer Griffith

Case Manager/Care Coordinator

NPI 1063076305
Tommy Davis , MA

Case Manager/Care Coordinator

NPI 1063971018

Master of Arts

Ann Jamieson

Counselor - Addiction (Substance Use Disorder)

NPI 1073921615
Jennifer Robles , LPN

Licensed Practical Nurse

NPI 1083216261

Licensed Practical Nurse

Donyel Ashley

Case Manager/Care Coordinator

NPI 1114602679

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 08, 2024

Registered at 3445 S SHERIDAN RD, TULSA, OK 741451105 (Tel: 9186103366)

📍
Updated Business Mailing Address November 08, 2024

Registered at 3445 S SHERIDAN RD, TULSA, OK 741451105 (Tel: 9186103366)

👤
Provider Name / Credentials Updated November 08, 2024

Recorded as COURTNEY MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 08, 2024

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: 1770307662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2024
Last Update: November 08, 2024
Sole Proprietor: Yes

Mailing Address

3445 S Sheridan Rd

Tulsa, OK 741451105

Phone: 9186103366

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.