Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jimmie Peterson

Individual provider Case Manager/Care Coordinator · NPI 1417483405

Jimmie Peterson is a Case Manager/Care Coordinator in Oklahoma City, Oklahoma. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
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Practice location Address checks out

4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone: (405) 948-4900
Fax: (405) 948-4933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12821 Stratford Dr Apt 236, Oklahoma City, OK 73120-8438 — (405) 361-9807

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1417483405
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 11, 2017
Last updated in NPPESDecember 22, 2020
Certification dateDecember 21, 2020

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