Active NPI
Tabitha Johnson
- Clinical Social Worker
- Tulsa, OK
National Provider Identifier
1982158804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5707
- Practice address
- 5840 S Memorial Dr Ste 3003
Tulsa, OK 74145-9052 - Phone
- (918) 724-2920
- NPI assigned
- Aug 9, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149017062 | IL | |
| Clinical Social Worker | 1041C0700X | 5707 | OK | Primary |
Addresses
Primary practice location
5840 S Memorial Dr Ste 3003
Tulsa, OK 74145-9052
Mailing address
1813 S Kingston Ave
Tulsa, OK 74112-7123
Phone (918) 724-2920
Other practice location 1
650 S Peoria Ave
Tulsa, OK 74120-4429
Phone (918) 587-9471
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | tabitha.longbons@anewwaycenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149017062 | IL | MD | Clinical Social Worker |
| 5707 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1982158804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1813 S KINGSTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741127123",
"telephone_number": "918-724-2920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5840 S MEMORIAL DR STE 3003",
"city": "TULSA",
"state": "OK",
"postal_code": "741459052",
"telephone_number": "918-724-2920"
}
],
"practiceLocations": [
{
"address_1": "650 S Peoria Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741204429",
"country_code": "US",
"telephone_number": "918-587-9471",
"fax_number": "918-560-1399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "TABITHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-09",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149017062",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "5707",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "tabitha.longbons@anewwaycenter.com",
"affiliation": "N",
"address_1": "5840 S Memorial Dr Ste 3003",
"city": "Tulsa",
"state": "OK",
"country_code": "US",
"postal_code": "741459052",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.