MS. KATELYNN JORDAN CHURCHES NPI 1699439604

NPI Information

  • NPI: 1699439604
  • Provider Name: MS. KATELYNN JORDAN CHURCHES
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 118 W KEETOOWAH ST
    TAHLEQUAH, OK
    ZIP 74464
  • Phone: (918) 201-4333

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NPI Details

MS. Katelynn Jordan Churches is a peer specialist in Tahlequah, 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. MS. Katelynn Jordan Churches NPI is 1699439604. 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:

118 W KEETOOWAH ST
TAHLEQUAH, OK
ZIP 74464-820
Phone: (918) 201-4333

The enumeration date for this NPI number is 10/26/2021 and was last updated on 10/26/2021.

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 SpecialistOKLAHOMAYes

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
11134704489MEDICAIDOKLAHOMA

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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