IndividualActive
Dominque Wathan, CMII, BHWC
NPI 1992349427 · Case Manager/Care Coordinator · Shawnee, OK
Provider details
- NPI number
- 1992349427
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- CMII, BHWC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Peer Specialist175T00000X
Other Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
111 W. 1st St
Shawnee, OK 74804-2202
Phone: (405) 273-1170
Fax: (405) 241-6447
Approximate (ZIP-level) locationGet directions
Mailing address
111 W 1st St
Chandler, OK 74834-2004
Registry dates
- Enumerated
- 2019-10-28
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.