Tabathya Lane Aprn
NPI 1528896396 · Psychiatric/Mental Health Nurse Practitioner · Kingston, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tabathya Lane Aprn is a Psychiatric/Mental Health Nurse Practitioner organization in Kingston, OK (NPI 1528896396).
Provider details
- NPI number
- 1528896396
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tabathya Taliaferro, Sole Owner(580) 504-3090
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Health Clinical Nurse Specialist364SF0001X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Other names (DBA / former)
- Doing business as
- Evergrace Health and Wellness
- Doing business as
- Evergrace Health and Wellness
Registry dates
- Enumerated
- 2024-07-23
- Last updated
- 2025-07-31
- Certified
- 2025-07-31
Frequently asked questions
- What is Tabathya Lane Aprn's NPI number?
- Tabathya Lane Aprn's National Provider Identifier (NPI) is 1528896396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tabathya Lane Aprn?
- Tabathya Lane Aprn is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tabathya Lane Aprn located?
- Tabathya Lane Aprn's practice location on file with NPPES is 9118 Buckaloo Bend Rd, Kingston, OK 73439-2021.
- What is Tabathya Lane Aprn's phone number?
- The practice phone number listed in the NPPES registry for Tabathya Lane Aprn is (580) 504-3090.
- Does Tabathya Lane Aprn accept Medicare?
- Tabathya Lane Aprn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tabathya Lane Aprn?
- The authorized official listed on Tabathya Lane Aprn's NPPES record is Tabathya Taliaferro, Sole Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tabathya Lane Aprn's NPI active?
- Yes — Tabathya Lane Aprn's NPI (1528896396) is active in the NPPES registry as of the last update on 2025-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.