DESIREE ANN GREEN
NPI 1457150906
Peer Specialist in Pryor, OK

NPI Status: Active since March 10, 2025

Contact Information

1500 E GRAHAM AVE
PRYOR, OK
ZIP 74361
Phone: (918) 825-1062

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  • Individual
  • Female
  • Peer Specialist

About DESIREE GREEN

This page provides the complete NPI Profile along with additional information for Desiree Green, a provider established in Pryor, Oklahoma with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1457150906 assigned on March 2025. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated May 2025.

NPI
1457150906
Provider Name
DESIREE ANN GREEN
Gender
Female
Entity Type
Individual
Location Address
1500 E GRAHAM AVE PRYOR, OK 74361
Location Phone
(918) 825-1062
Mailing Address
1219 SE 12TH ST PRYOR, OK 74361
Mailing Phone
(918) 290-8568
Is Sole Proprietor?
Yes
Enumeration Date
03-10-2025
Last Update Date
05-13-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457150906
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410725090
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 2 + 5 + 0 + 9 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1457150906 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457150906, enumerated in the NPI registry as an "individual" on March 10, 2025

The provider is located at 1500 E Graham Ave Pryor, Ok 74361 and the phone number is (918) 825-1062

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on March 10, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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