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Deactivated NPI 1801629233 Deactivated / Inactive NPI Male Practitioner

Kaylon Michael Baker , PRSS

Peer Specialist • Tulsa, OK

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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, Kaylon Baker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2024
NPI Deactivation Date December 12, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Kaylon Baker, PRSS was a registered Peer Specialist practicing in Tulsa, OK. Throughout an active medical career spanning 1 years, Kaylon Baker provided care at the practice location at 6128 E 38TH ST until profile deactivation on 2024-12-12.

Practice Location & Contact Primary Location

Practice Address

6128 E 38th St

Tulsa, OK 741355832

Telephone 9187797144
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

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

18 Associated Practitioners
Nateesha King

Peer Specialist

NPI 1134985617
Shaunda Stanley , RN

Case Manager/Care Coordinator

NPI 1205310349

Registered Nurse

Chloe Parsons

Social Worker

NPI 1295418341
Lacey Rider Lemmons

Peer Specialist

NPI 1376316489
NPI 1386932036

Licensed Professional Counselor

Thomas Harders

Peer Specialist

NPI 1467220921

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 12, 2024

Record deactivated on December 12, 2024

NPI Profile Active August 21, 2024

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2024

Registered at 6128 E 38TH ST, TULSA, OK 741355832 (Tel: 9187797144)

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Updated Business Mailing Address August 21, 2024

Registered at 7322 E 66TH PL, TULSA, OK 741331807 (Tel: 9185046794)

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Provider Name / Credentials Updated August 21, 2024

Recorded as KAYLON BAKER, PRSS

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Peer Specialist

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Initial NPI Registration & Enumeration August 21, 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: 1801629233
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2024
Last Update: August 21, 2024
Deactivation Date: December 12, 2024

Mailing Address

7322 E 66th Pl

Tulsa, OK 741331807

Phone: 9185046794

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.