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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYANNA WILLIS
NPI 1659282374
Case Manager/Care Coordinator in Vinita, OK

Active since September 14, 2026
405 E EXCELSIOR AVE, VINITA, OK 74301(918) 256-6476(918) 256-3628 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Tyanna Willis NPPES

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

TYANNA WILLIS (NPI 1659282374) is an individual case manager/care coordinator provider in Vinita, Oklahoma and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1659282374
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameTYANNA WILLIS
Location Address405 E EXCELSIOR AVEVinita, OK 74301-4226
Mailing Address405 E Excelsior AveVinita, OK 74301-4226 · (918) 256-6476 · Fax (918) 256-3628
Phone(918) 256-6476
Fax(918) 256-3628
Sole ProprietorNo
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 13, 2026
✔ NPI 1659282374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
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.
405 E EXCELSIOR AVE, Vinita, OK 74301
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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.

ANISSA MARIE MAYHEW
Case Manager/Care Coordinator
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 245-6476
KARLEE GIBSON
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
CHRSITINA HART
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
JUSTIN LYNN CICOTTE
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
STEVEN RAY COATNEY
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
ELISABETH TENNEH BIMBA
Registered Nurse
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476
KIMBERLY ANN CASHION
Peer Specialist
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 344-1577
CHRYSTAL BRASSFIELD MS
Counselor (Mental Health)
405 E EXCELSIOR AVE
VINITA, OK 74301
Craig County (918) 256-6476

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 Tyanna Willis's NPI number?

The NPI number for Tyanna Willis is 1659282374. It was assigned to this individual provider in the NPPES registry on September 14, 2026.

Where is Tyanna Willis located?

Tyanna Willis practices at 405 E Excelsior Ave, Vinita, OK 74301. The listed phone number is (918) 256-6476.

What is Tyanna Willis's specialty?

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

When was this NPI record last updated?

The NPPES record for Tyanna Willis was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.