IndividualActive
Tyra Wilson
NPI 1336868710 · Case Management Agency · Wagoner, OK
Tyra Wilson is a Case Management Agency provider in Wagoner, OK (NPI 1336868710).
Provider details
- NPI number
- 1336868710
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
109 S Harrill Ave
Wagoner, OK 74467-5317
Phone: (918) 485-0242
Street-level locationGet directions
Mailing address
4311 Orchard Pkwy
Muskogee, OK 74403-8549
Registry dates
- Enumerated
- 2022-08-26
- Last updated
- 2022-08-26
- Certified
- 2022-08-23
Frequently asked questions
- What is Tyra Wilson's NPI number?
- Tyra Wilson's National Provider Identifier (NPI) is 1336868710, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyra Wilson's specialty?
- Tyra Wilson is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).
- Where is Tyra Wilson located?
- Tyra Wilson's practice location on file with NPPES is 109 S Harrill Ave, Wagoner, OK 74467-5317.
- What is Tyra Wilson's phone number?
- The practice phone number listed in the NPPES registry for Tyra Wilson is (918) 485-0242.
- Is Tyra Wilson's NPI active?
- Yes — Tyra Wilson's NPI (1336868710) is active in the NPPES registry as of the last update on 2022-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.