BRENDA HENRIQUEZ
NPI 1326602467
Case Manager/Care Coordinator in Pryor, OK

Q: What is Brenda Henriquez's NPI number?

The NPI number for Brenda Henriquez is 1326602467. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Brenda Henriquez's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Henriquez was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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 April 24, 2019PECOS Enrolled

109 N FAIRLAND ST, PRYOR, OK 74361(918) 825-1405(918) 825-1406 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Brenda Henriquez NPPES

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

BRENDA HENRIQUEZ (NPI 1326602467) is an individual case manager/care coordinator provider in Pryor, Oklahoma, licensed in Oklahoma (Y084170766) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326602467

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameBRENDA HENRIQUEZ

Location Address109 N FAIRLAND STPryor, OK 74361-4203

Mailing Address109 N Fairland StPryor, OK 74361-4203 · (918) 825-1405 · Fax (918) 825-1406

Phone(918) 825-1405

Fax(918) 825-1406

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 24, 2019

Last NPPES UpdateJune 24, 2019

✔ NPI 1326602467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

License✔ Licensed in OK · Y084170766

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

109 N FAIRLAND ST, Pryor, OK 74361

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda Henriquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113401571

PECOS Enrollment IDI20260324001917

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KALI ROSE KERNS

Peer Specialist