Tracy Leigh Wilde, BA

Peer Specialist · Broken Arrow, OK

Individual Active NPI

NPI number 1104143213

Practice location

7015 S Dogwood Pl
Broken Arrow, OK 74011-2071
Phone
(918) 630-3566

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NPI record

NPI
1104143213
Entity type
Individual (Type 1)
Enumeration date
April 28, 2010
Last updated
April 17, 2026
Certified
April 17, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Case Manager/Care Coordinator 171M00000X — —

About Tracy Wilde

Tracy Leigh Wilde, BA is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 7015 S Dogwood Pl, Broken Arrow, OK 74011-2071. The NPI number 1104143213 was assigned on April 28, 2010 and the record was last updated on April 17, 2026.

Frequently asked questions

What is the NPI number of Tracy Leigh Wilde, BA?

The NPI number is 1104143213.

What is the phone number of Tracy Wilde?

The phone number listed for the practice location is (918) 630-3566.

Where is Tracy Wilde located?

7015 S Dogwood Pl, Broken Arrow, OK 74011-2071.

What is the taxonomy code for Tracy Wilde?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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