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

Nickolas Ellis

Individual provider Peer Specialist · NPI 1699636415

Nickolas Ellis is a Peer Specialist in Oklahoma City, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2025

Practice location Address checks out

11601 W Stanley Draper Dr
Oklahoma City, OK 73165-6503
Phone: (405) 799-7540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence K082070417 (OK)

Record details

NPI number1699636415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 20, 2025
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

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