CRYSTAL ROSE HENDERSON
NPI 1215892070
Student in an Organized Health Care Education/Training Program in Tahlequah, OK

Q: What is Crystal Henderson's NPI number?

The NPI number for Crystal Henderson is 1215892070. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Q: What is Crystal Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Crystal Henderson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 23, 2025

1520 NORTHPARK DR, TAHLEQUAH, OK 74464(580) 504-8922 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crystal Rose Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL ROSE HENDERSON (NPI 1215892070) is an individual student in an organized health care education/training program in Tahlequah, Oklahoma and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1215892070

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCRYSTAL ROSE HENDERSON

Location Address1520 NORTHPARK DRTahlequah, OK 74464-6241

Mailing Address1520 Northpark DrTahlequah, OK 74464-6241

Phone(580) 504-8922

Sole ProprietorNo

Enumeration DateDecember 23, 2025

NPPES CertifiedDecember 23, 2025

✔ NPI 1215892070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1520 NORTHPARK DR, Tahlequah, OK 74464

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Henderson's NPI number?

The NPI number for Crystal Henderson is 1215892070. It was assigned to this individual provider in the NPPES registry on December 23, 2025.

Where is Crystal Henderson located?

Crystal Henderson practices at 1520 Northpark Dr, Tahlequah, OK 74464. The listed phone number is (580) 504-8922.

What is Crystal Henderson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Crystal Henderson was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.