Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770331597 Individual Practitioner Female Practitioner

Stacy Raye Nimmo

Peer Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Stacy Nimmo is a registered healthcare professional specializing in Peer Specialist in Tulsa, OK. Practice services are available at 808 S PEORIA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

808 S Peoria Ave

Tulsa, OK 741204427

Telephone 9182818500
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: 2024-05-20
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

12 Associated Practitioners
Halee Comiford

Case Manager/Care Coordinator

NPI 1043945405
Angela Dejacimo

Case Manager/Care Coordinator

NPI 1154035699
Isabel Hartmann

Case Manager/Care Coordinator

NPI 1174854517
Amy Knuckles

Case Manager/Care Coordinator

NPI 1275263543
Ryan Schooley

Case Manager/Care Coordinator

NPI 1306130323
NPI 1316186422

Master of Social Work

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 07, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2024

Registered at 808 S PEORIA AVE, TULSA, OK 741204427 (Tel: 9182818500)

📍
Updated Business Mailing Address May 07, 2024

Registered at 808 S PEORIA AVE, TULSA, OK 741204427 (Tel: 9182818500)

👤
Provider Name / Credentials Updated May 07, 2024

Recorded as STACY NIMMO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 07, 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: 1770331597
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2024
Last Update: May 20, 2024
Sole Proprietor: No

Mailing Address

808 S Peoria Ave

Tulsa, OK 741204427

Phone: 9182818500

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.