Individual provider Active NPI

Tabbie Warden, NP

  • Nurse Practitioner
  • Ponca City, OK
National Provider Identifier
1316892391
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227891 Issued in OK
Practice address
2501 N 14TH St
Ponca City, OK 74601-1734
Phone
(580) 749-5076
Fax
(580) 749-5516
NPI assigned
Mar 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 227891 OK Primary
Family Nurse Practitioner 363LF0000X 53-85460-112 KS

Addresses

Primary practice location

2501 N 14TH St
Ponca City, OK 74601-1734

Mailing address

2501 N 14TH St
Ponca City, OK 74601-1734
Phone (580) 749-5076

Other practice location 1

7107 S Meridian St
Haysville, KS 67060-7678
Phone (316) 858-8580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260324004178 OK Practitioner - Nurse Practitioner 6305320680 Reassigns benefits to 1 organization
I20260408003881 KS Practitioner - Nurse Practitioner 6305320680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Medical Group Practice, LLCGroup PAC ID 3375832157, 212 clinicians

Practice addresses (Care Compare)

2501 N 14TH St
Xpress Wellness Urgent Care
Ponca City, OK 74601-1734
Phone (580) 749-5076

7107 S Meridian St
Haysville, KS 67060-7678
Phone (316) 858-8580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227891OKMDNurse Practitioner
53-85460-112KSMDFamily Nurse Practitioner

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1316892391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011734",
            "telephone_number": "580-749-5076",
            "fax_number": "580-749-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N 14TH ST",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011734",
            "telephone_number": "580-749-5076",
            "fax_number": "580-749-5516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7107 S Meridian St",
            "address_purpose": "LOCATION",
            "city": "Haysville",
            "state": "KS",
            "postal_code": "670607678",
            "country_code": "US",
            "telephone_number": "316-858-8580",
            "fax_number": "316-669-9273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "TABBIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "227891",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-85460-112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.