Active NPI
Tyler Woods
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113279
- Practice address
- 3219 S 79TH East Ave
Tulsa, OK 74145-1343 - Phone
- (918) 663-8183
- Fax
- (918) 660-5398
- NPI assigned
- Sep 25, 2018
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113279 | OK | Primary |
| Nurse Practitioner | 363L00000X | R0113279 | OK |
Addresses
Primary practice location
3219 S 79TH East Ave
Tulsa, OK 74145-1343
Mailing address
1029 W 88TH St S
Tulsa, OK 74132-3473
Phone (214) 886-5020
Other practice location 1
610 W Bypass
Drumright, OK 74030-5957
Phone (918) 382-2300
Other practice location 2
550 W 121st St S
Glenpool, OK 74033-8677
Phone (918) 579-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3105 E Skelly Dr
Suite 310
Tulsa, OK 74105-6371
Phone (918) 954-1083
Hospital & facility affiliations
- Ascension St John Rehab Hospital of Broken Arrow
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0113279 | OK | MD | Nurse Practitioner |
| 113279 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muskogee Medical Care PLLC | Current | Accepting new patients | |
| Pam Physician Enterprise | Current | Accepting new patients | |
| Urgent Care of Muskogee PLLC | Current | Accepting new patients | |
| Urgent Care of Muskogee PLLC | Current | Accepting new patients | |
| Paradigm Wound Specialists LLC | Nurse Practitioner | Current | Accepting new patients |
| Silverstone Therapeutic Institute | Past | Accepting new patients |
Locations
384 S 33rd St
Ste D
Muskogee, OK 74401
Phone (918) 681-6560
3219 S 79th East Ave
Tulsa, OK 74145
Phone (833) 524-2400
6966 S Utica Ave
Ste 225
Tulsa, OK 74136
Phone (855) 492-6333
3105 E Skelly Dr
Ste 310
Tulsa, OK 74105
Phone (918) 599-7404
3105 E Skelly Dr
Tulsa, OK 74105
Phone (918) 388-6547
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Nurse Practitioner
- Tulsa, OK
- NPI 1326818329
-
- Family Medicine Physician
- Muskogee, OK
- NPI 1629368105
-
- Medical Specialty Clinic/Center
- Muskogee, OK
- NPI 1740678622
-
- Physical Therapy Clinic/Center
- Tulsa, OK
- NPI 1720937006
-
- Urgent Care Clinic/Center
- Wagoner, OK
- NPI 1871120022
-
- Physical Medicine & Rehabilitation Physician
- Fargo, ND
- NPI 1962856161
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Broken Arrow, OK
- NPI 1073995056
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671926400000",
"number": "1013491141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 W 88TH ST S",
"city": "TULSA",
"state": "OK",
"postal_code": "741323473",
"telephone_number": "214-886-5020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 S 79TH EAST AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741451343",
"telephone_number": "918-663-8183",
"fax_number": "918-660-5398"
}
],
"practiceLocations": [
{
"address_1": "610 W Bypass",
"address_purpose": "LOCATION",
"city": "Drumright",
"state": "OK",
"postal_code": "740305957",
"country_code": "US",
"telephone_number": "918-382-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "550 W 121st St S",
"address_purpose": "LOCATION",
"city": "Glenpool",
"state": "OK",
"postal_code": "740338677",
"country_code": "US",
"telephone_number": "918-579-1858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOODS",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-25",
"last_updated": "2022-12-25",
"certification_date": "2022-12-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "113279",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "R0113279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Dec 25, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.