TABITHA LYNETTE HENNINGER
NPI 1730983537
Case Manager/Care Coordinator in Broken Arrow, OK

Q: What is Tabitha Henninger's NPI number?

The NPI number for Tabitha Henninger is 1730983537. It was assigned to this individual provider in the NPPES registry on April 2, 2025. The provider is also known as Tabitha Lynette Willson.

Q: What is Tabitha Henninger'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 Tabitha Henninger was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 April 02, 2025

2548 E KENOSHA ST, BROKEN ARROW, OK 74014(918) 355-0993(918) 355-0995 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2025, Apr 2, 2025 (2 updates tracked since 2025).

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About Tabitha Lynette Henninger NPPES

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

TABITHA LYNETTE HENNINGER (NPI 1730983537) is an individual case manager/care coordinator provider in Broken Arrow, Oklahoma and active in the NPI registry since April 2025. She maintains a secondary practice location in Broken Arrow.

NPPES Registry Identity

NPI1730983537

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameTABITHA LYNETTE HENNINGER

Location Address2548 E KENOSHA STBroken Arrow, OK 74014-6712

Mailing Address2548 E Kenosha StBroken Arrow, OK 74014-6712 · (918) 355-0993 · Fax (918) 355-0995

Phone(918) 355-0993

Fax(918) 355-0995

Sole ProprietorYes

Enumeration DateApril 2, 2025

Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration

NPPES CertifiedJuly 8, 2025

✔ NPI 1730983537 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.

2548 E KENOSHA ST, Broken Arrow, OK 74014

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Other Names 1

Former Name (1)Tabitha Lynette Willson

Secondary Practice Location 1

Location 11721 S Pecan AveBroken Arrow, OK 74012-5234 · Phone (918) 693-1501

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.

GABRIELLA VELIZ

Case Manager/Care Coordinator