DOMINQUE LATREACE WATHAN CMII, BHWC
NPI 1992349427
Case Manager/Care Coordinator in Shawnee, OK

Q: What is Dominque Wathan's NPI number?

The NPI number for Dominque Wathan is 1992349427. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Q: What is Dominque Wathan'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 Dominque Wathan was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 October 28, 2019

111 W. 1ST ST, SHAWNEE, OK 74804(405) 273-1170(405) 241-6447 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2025, Oct 28, 2019 (2 updates tracked since 2019).

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About Dominque Latreace Wathan Cmii, Bhwc NPPES

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

DOMINQUE LATREACE WATHAN CMII, BHWC (NPI 1992349427) is an individual case manager/care coordinator provider in Shawnee, Oklahoma and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1992349427

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameDOMINQUE LATREACE WATHANCredential: CMII, BHWC

Location Address111 W. 1ST STShawnee, OK 74804-2202

Mailing Address111 W 1st StChandler, OK 74834-2004 · (405) 273-1170 · Fax (405) 241-6447

Phone(405) 273-1170

Fax(405) 241-6447

Sole ProprietorNo

Enumeration DateOctober 28, 2019

Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration

NPPES CertifiedMarch 4, 2025

✔ NPI 1992349427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedPeer SpecialistTaxonomy 175T00000X

111 W. 1ST ST, Shawnee, OK 74804

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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 Dominque Wathan's NPI number?

The NPI number for Dominque Wathan is 1992349427. It was assigned to this individual provider in the NPPES registry on October 28, 2019.

Where is Dominque Wathan located?

Dominque Wathan practices at 111 W. 1st St, Shawnee, OK 74804. The listed phone number is (405) 273-1170.

What is Dominque Wathan'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 Dominque Wathan was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.