Lisa Yvette Henderson, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

118316 Issued in OK

Practice address

601 E Broadway St
Cushing, OK 74023-3432

Phone

(316) 308-5768

NPI assigned

Aug 28, 2017

Last updated

Sep 30, 2025By 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 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGHIAA
• Direct secure messaging: ms_lhende57@landmarkhealth-direct.org

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.

• Fairfax Medical Facilities Inc

  dba Robert Clark Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Fairfax, OK
  • NPI 1538183173
  Medicare reassignment NPD
• NR Stillwater LLC

  dba Nerve Renewal Stillwater

  • Physical Medicine & Rehabilitation Physician
  • Stillwater, OK
  • NPI 1518708635
  Medicare reassignment NPD
• Fairfax Medical Facilities, Inc.

  dba Ponca City Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Ponca City, OK
  • NPI 1316747017
  NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1912424243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E BROADWAY ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233432",
            "telephone_number": "316-308-5768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E BROADWAY ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233432",
            "telephone_number": "316-308-5768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LISA",
        "middle_name": "YVETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KS",
            "license": "53-77543-021",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "118316",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "118316",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KS",
            "license": "53-77543-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie M Hamner, LADC/MH, LPC
• Sarah Hanna
• Aushia Renea Harrison, B.S.
• Candice Leigh Hart, M.S., LPC
• Chris Dale Hawthorn, D.D.S.
• Hightower & Grellner
• Hightower & Grellner LLC (Pipeline Crossroads Clinic)
• Robert Brian Hightower, DO
• Ladawna Shawndrae Hollingshad
• Laneta D Houston

• Nurse Practitioner in Cushing, OK
• Providers in Cushing, OK by specialty
• Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.