Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710733613 Individual Practitioner Male Practitioner

Nathaniel Maques Moore

Peer Specialist • Vinita, OK

Professional Overview & Biography Verified Profile Summary

Nathaniel Moore 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 9182731841
Fax 9182731843
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: 2026-06-02
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
William Mosher , MS, LPC, LADC

Counselor - Mental Health

NPI 1003037565

Master of Science, Licensed Professional Counselor, Licensed Alcohol and Drug Counselor

Jennifer Boer

Case Manager/Care Coordinator

NPI 1003315078
Cheyenne Eddings

Case Manager/Care Coordinator

NPI 1003560467
Tiffanie Worthy

Peer Specialist

NPI 1013591684
Stephanie Stacy

Peer Specialist

NPI 1013595453
Charles Danley , MS

Counselor - Mental Health

NPI 1023238235

Master of Science

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 02, 2026

Registered at 405 E EXCELSIOR AVE, VINITA, OK 743014226 (Tel: 9182731841)

NPI Profile Active April 30, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 30, 2024

Registered at 705 S VIRGINIA AVE, BARTLESVILLE, OK 740034439 (Tel: 9183378080)

📍
Updated Business Mailing Address April 30, 2024

Registered at 705 S VIRGINIA AVE, BARTLESVILLE, OK 740034439 (Tel: 9183378080)

👤
Provider Name / Credentials Updated April 30, 2024

Recorded as NATHANIEL MOORE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 30, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration April 30, 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: 1710733613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 30, 2024
Last Update: June 02, 2026
Sole Proprietor: No

Mailing Address

705 S Virginia Ave

Bartlesville, OK 740034439

Phone: 9183378080

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.