Tanya R Humphrey, MS, NDTR, CLT, C-CHW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

101 W Main St
Marietta, OK 73448-2831

Phone

(580) 276-2531

NPI assigned

Oct 12, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1750923637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734480440",
            "telephone_number": "580-276-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W MAIN ST",
            "city": "MARIETTA",
            "state": "OK",
            "postal_code": "734482831",
            "telephone_number": "580-276-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 S Chickasaw St",
            "address_purpose": "LOCATION",
            "city": "Pauls Valley",
            "state": "OK",
            "postal_code": "730756816",
            "country_code": "US",
            "telephone_number": "405-238-7346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 E Anderson Ave",
            "address_purpose": "LOCATION",
            "city": "Waurika",
            "state": "OK",
            "postal_code": "735733008",
            "country_code": "US",
            "telephone_number": "580-371-2470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1080 S Byrd St",
            "address_purpose": "LOCATION",
            "city": "Tishomingo",
            "state": "OK",
            "postal_code": "734603265",
            "country_code": "US",
            "telephone_number": "580-371-2470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734017044",
            "country_code": "US",
            "telephone_number": "580-223-9705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2330 Arlington St",
            "address_purpose": "LOCATION",
            "city": "Ada",
            "state": "OK",
            "postal_code": "748202823",
            "country_code": "US",
            "telephone_number": "580-332-2011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Cambridge",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "OK",
            "postal_code": "730864254",
            "country_code": "US",
            "telephone_number": "580-622-3716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W Lillie Blvd",
            "address_purpose": "LOCATION",
            "city": "Madill",
            "state": "OK",
            "postal_code": "734461233",
            "country_code": "US",
            "telephone_number": "580-795-3705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 W Bois D Arc Ave",
            "address_purpose": "LOCATION",
            "city": "Duncan",
            "state": "OK",
            "postal_code": "735334899",
            "country_code": "US",
            "telephone_number": "580-252-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUMPHREY",
        "first_name": "TANYA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MS, NDTR, CLT, C-CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "136A00000X",
            "taxonomy_group": "",
            "desc": "Dietetic Technician, Registered",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Marquietta Greenwood, CADC
• Tad Alan Hall, PA-C
• Christi Lynn Hallum, RN
• Jenny Hambrick, D.PH.
• Janet Hartsell
• Stephen I Hutchins, M.D.
• Latosha Juanette Lornes
• Latronda Jaquette Lornes
• Love County Health Center
• Love County Health Center

• All providers in Marietta, OK
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.