Tara R Henthorn

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

102945 Issued in OK

Practice address

411 W Grand Ave
Chickasha, OK 73018-5862

Phone

(405) 224-0053

NPI assigned

Oct 24, 2019

Last updated

Dec 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Williams Medical Group Practice, LLCGroup PAC ID 3375832157, shared by 35 NPIs, 212 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: tara.huynhfnp.p10@direct.nextcare.nextgenshare.com
• Direct secure messaging: tara.huynhfnp.p8@direct.nextcare.nextgenshare.com

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

• Medical Resource Management, LLC

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment Care Compare group NPD
• Tulsa Emergency Medical Center Inc

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment NPD
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1346608809
  Medicare reassignment
• Central Oklahoma American Indian Health Council, Inc.

  dba Oklahoma City Indian Clinic

  • Federally Qualified Health Center (FQHC)
  • Oklahoma City, OK
  • NPI 1407969728
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Shawnee, OK
  • NPI 1184294910
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Tulsa, OK
  • NPI 1750950580
  NPD (past)
• Williams Medical Group Practice, LLC

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1992375737
  NPD (past)
• DCS Medical PA

  dba Integrity Urgent Care

  • Rural Health Clinic/Center
  • Mineral Wells, TX
  • NPI 1962271692
  NPD (past)

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1811530603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N MAIN ST",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735213108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W GRAND AVE",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185862",
            "telephone_number": "405-224-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTHORN",
        "first_name": "TARA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "102945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthcare Stat
• Alecia Heath
• Johnathan Gregory Heim, PHARMD
• Karen Kay Heltcel
• Ruth Ann Helton, L.P.C., L.A.D.C. MS
• James Noel Herndon, D.D.S.
• Aubrey Herring
• Deasha K Hire
• Kylee Leann Holland
• Lauren Hop, DPT

• Family Nurse Practitioner in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.