SAM NIMO – NPI #1386190569
Peer Specialist

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.

SAM NIMO is a peer specialist located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1386190569 to SAM NIMO on August 29, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for SAM NIMO below.

NPI Profile for
SAM NIMO

NPI Number
1386190569
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SAM NIMO
Primary location
9210 S WESTERN AVE STE A-21
OKLAHOMA CITY, OK 73139
Phone: (405) 703-8755 Fax: (405) 895-7544
Mailing address
8213 NW 8TH ST
OKLAHOMA CITY, OK 73127-4811
Phone: (405) 474-6466 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.