ERICKA BURLESON NPI 1396406757

NPI Information

  • NPI: 1396406757
  • Provider Name: ERICKA BURLESON
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 193461 E CO RD 304
    FORT SUPPLY, OK
    ZIP 73841
  • Phone: (580) 766-2311

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NPI Details

Ericka Burleson is a peer specialist in Fort Supply, 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. Ericka Burleson NPI is 1396406757. 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:

193461 E CO RD 304
FORT SUPPLY, OK
ZIP 73841
Phone: (580) 766-2311

The enumeration date for this NPI number is 1/6/2022 and was last updated on 1/6/2022.

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
1175T00000XPeer SpecialistYes

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: 11/21/2025

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