MEDICARE: NYRE C ARLEDGE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175T00000X	Peer Specialist

General Provider Information

NPI Number	:	1528649027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYRE C ARLEDGE

Provider Business Mailing Address
First Line	:	1200 NE 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73117-1022
Country	:	US
Telephone Number	:	405-248-9368
Fax Number	:

Provider Business Practice Location Address
First Line	:	5836 NW 88TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-2824
Country	:	US
Telephone Number	:	405-875-5539
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2021
Last Update Date	:	04/16/2021

Similar Medicare Providers

1679912232 — MATT HANKINSON
Practice Location Address:

2824 CAMBRIDGE CT
OKLAHOMA CITY, OK
73116-4506

Practice Phone: 405-812-4910
Practice Fax:

1780152850 — HARMONY CARE CONCEPTS AND MANAGEMENT, LLC
Practice Location Address:

3704 LARKWOOD DR
OKLAHOMA CITY, OK
73115-2824

Practice Phone: 405-476-5766
Practice Fax:

1447716972 — TAMARA WEBB
Practice Location Address:

3704 LARKWOOD DR
OKLAHOMA CITY, OK
73115-2824

Practice Phone: 405-476-5766
Practice Fax:

1205393261 — VICTORIA SMITH RN
Practice Location Address:

3704 LARKWOOD DR
OKLAHOMA CITY, OK
73115-2824

Practice Phone: 405-476-5766
Practice Fax:

1720656531 — ATLANTA ELIZABETH CRANIAS PA-C
Practice Location Address:

2824 ENTERPRISE RD
ORANGE CITY, FL
32763-8428

Practice Phone: 386-774-7411
Practice Fax: 386-774-7412

1336132844 — DR. BHANU VISVALINGAM MD
Practice Location Address:

2824 ENTERPRISE RD
ORANGE CITY, FL
32763-8428

Practice Phone: 386-774-7411
Practice Fax: 386-774-7412

Directions to “ NYRE C ARLEDGE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.