JEFF A. REDDICK – NPI #1720840614
Peer Specialist

JEFF REDDICK is a peer specialist located in TAHLEQUAH, OK. NPPES recently assigned the NPI number 1720840614 to JEFF REDDICK on January 25, 2024. 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 JEFF REDDICK below.

NPI Profile for
JEFF A. REDDICK

NPI Number
1720840614
Created

(about a month ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFF A. REDDICK
Primary location
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4733
Phone: (918) 525-6035 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.