IndividualActive
Jimmie Peterson
NPI 1417483405 · Peer Specialist · Oklahoma City, OK
Jimmie Peterson is a Peer Specialist provider in Oklahoma City, OK (NPI 1417483405).
Provider details
- NPI number
- 1417483405
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone: (405) 948-4900
Fax: (405) 948-4933
Street-level locationGet directions
Mailing address
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Additional practice locations (1)
- 12821 Stratford Dr Apt 236Oklahoma City, OK 73120-8438Phone: (405) 361-9807
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2020-12-22
- Certified
- 2020-12-21
Frequently asked questions
- What is Jimmie Peterson's NPI number?
- Jimmie Peterson's National Provider Identifier (NPI) is 1417483405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmie Peterson's specialty?
- Jimmie Peterson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jimmie Peterson located?
- Jimmie Peterson's practice location on file with NPPES is 4913 W Reno Ave, Oklahoma City, OK 73127-6339.
- What is Jimmie Peterson's phone number?
- The practice phone number listed in the NPPES registry for Jimmie Peterson is (405) 948-4900.
- Is Jimmie Peterson's NPI active?
- Yes — Jimmie Peterson's NPI (1417483405) is active in the NPPES registry as of the last update on 2020-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.