Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144982604 Individual Practitioner Male Practitioner

Tyler Lee Johnson-Root

Peer Specialist • Vinita, OK

Professional Overview & Biography Verified Profile Summary

Tyler Johnson-Root is a registered healthcare professional specializing in Peer Specialist in Vinita, OK. Practice services are available at 405 E EXCELSIOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

405 E Excelsior Ave

Vinita, OK 743014226

Telephone 9182566476
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Vinita, OK

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

Practicing in Vinita, 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: 2021-10-11
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

40 Associated Practitioners
Karlee Gibson

Peer Specialist

NPI 1003581521
Chrsitina Hart

Peer Specialist

NPI 1013454727
Justin Cicotte

Peer Specialist

NPI 1013577139
Steven Coatney

Peer Specialist

NPI 1023625563
Elisabeth Bimba

Registered Nurse

NPI 1023668514
Chrystal Brassfield , MS

Counselor - Mental Health

NPI 1043592132

Master of Science

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2021

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226 (Tel: 9182566476)

📍
Updated Business Mailing Address October 12, 2021

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226 (Tel: 9182566476)

👤
Provider Name / Credentials Updated October 12, 2021

Recorded as TYLER JOHNSON-ROOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 12, 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: 1144982604
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2021
Last Update: October 12, 2021
Sole Proprietor: Yes

Mailing Address

405 E Excelsior Ave

Vinita, OK 743014226

Phone: 9182566476

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.