Organization Active NPI

Cherokee Nation

Doing business as Cherokee Nation Public Health

  • Public Health or Welfare Agency
  • Tahlequah, OK
National Provider Identifier
1013884154
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CHEROKEE NATION
Doing business as
Cherokee Nation Public Health
Practice address
1325 E Boone St
Tahlequah, OK 74464-3361
Phone
(918) 772-4105
NPI assigned
Oct 22, 2025
Last updated
Dec 9, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHEROKEE NATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Whitewater
Title
Special Projects Officer
Phone
(918) 772-4105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1325 E Boone St
Tahlequah, OK 74464-3361

Mailing address

1325 E Boone St
Tahlequah, OK 74464-3361
Phone (918) 772-4105

Other names 1

  • Cherokee Nation Public Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310001204 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5799698742 Practice locations: Tahlequah, OK

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2308383Cherokee Nation Public Health1325 E Boone St, Tahlequah, OK 74464Certificate of waiverJul 25, 2028

National Provider Directory

National Provider Directory
Tax ID family
Stilwell Indian Clinic23 organizations share this tax ID, including this one
Part of
Stilwell Indian Clinic

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Locations

1805 N York St
Ste E
Muskogee, OK 74403
Phone (918) 687-0201

202 E Galer
Nowata Primary Care Ctr
Nowata, OK 74048
Phone (918) 273-0192

471688 Highway 51
Stilwell, OK 74960

471688 Highway 51
#P
Stilwell, OK 74960
Phone (918) 696-8819

100 S Bliss Ave
#W
Tahlequah, OK 74464
Phone (918) 458-3100

1325 E Boone St
Tahlequah, OK 74464
Phone (918) 207-4977

135 E Canadian Ave
Vinita, OK 74301
Phone (901) 453-5648

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
WW Hastings Indian HospitalTahlequah, OK, CCN 370171 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2008
Cherokee Nation Home Health Services, Inc.Tahlequah, OK, CCN 377173 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 29, 1994

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1,138

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,138

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1013884154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E BOONE ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643361",
            "telephone_number": "918-772-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E BOONE ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643361",
            "telephone_number": "918-772-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEROKEE NATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHEROKEE NATION",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "WHITEWATER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "SPECIAL PROJECTS OFFICER",
        "authorized_official_telephone_number": "918-772-4105",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Nation Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tahlequah, OK

Sources for this page

Verify at the official NPI Registry.