IndividualActive
Willetta Grayson, SERVICE PROVIDER
NPI 1619106853 · Community Health Worker · Idabel, OK
Willetta Grayson, SERVICE PROVIDER is a Community Health Worker provider in Idabel, OK (NPI 1619106853).
Provider details
- NPI number
- 1619106853
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- SERVICE PROVIDER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0810 (OK)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs 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
Rr 1 Box 686
Idabel, OK 74745-9779
Phone: (580) 286-5102
Fax: (580) 286-5929
Approximate (ZIP-level) locationGet directions
Mailing address
Rr 1 Box 686
Idabel, OK 74745-9779
Registry dates
- Enumerated
- 2009-07-09
- Last updated
- 2009-07-09
Frequently asked questions
- What is Willetta Grayson's NPI number?
- Willetta Grayson's National Provider Identifier (NPI) is 1619106853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willetta Grayson's specialty?
- Willetta Grayson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Willetta Grayson located?
- Willetta Grayson's practice location on file with NPPES is Rr 1 Box 686, Idabel, OK 74745-9779.
- What is Willetta Grayson's phone number?
- The practice phone number listed in the NPPES registry for Willetta Grayson is (580) 286-5102.
- Is Willetta Grayson's NPI active?
- Yes — Willetta Grayson's NPI (1619106853) is active in the NPPES registry as of the last update on 2009-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.