KYLIA BYASSEE NPI 1134732613

NPI Information

NPI: 1134732613
Provider Name: KYLIA BYASSEE
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
1803 S WOOD DR
OKMULGEE, OK
ZIP 74447
Phone: (918) 756-9250
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Kylia Byassee is a peer specialist in Okmulgee, OK. The provider is 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. Kylia Byassee NPI is 1134732613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1803 S WOOD DR
OKMULGEE, OK
ZIP 74447-825
Phone: (918) 756-9250

The enumeration date for this NPI number is 8/25/2020 and was last updated on 8/25/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	73-1108774	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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