Tracy Wilde, BA

Individual Active
NPI 1104143213
Peer Specialist Broken Arrow, OK

NPI 1104143213 belongs to Tracy Wilde, BA, a peer specialist with a practice location in Broken Arrow, OK. The NPI was issued on April 28, 2010, and the record was last updated in NPPES on April 17, 2026. The record lists 2 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X Not listed
Case Manager/Care Coordinator 171M00000X Not listed

Practice location

7015 S Dogwood Pl
Broken Arrow, OK 74011-2071
Phone: (918) 630-3566

Local context

Active NPPES records list 1,140 providers with peer specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 512 of them within 10 miles.

The same primary taxonomy is listed by 5,370 in Oklahoma and 33,802 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Tracy Leigh Wilde
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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