Individual provider Active NPI

Tyler Woods

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1013491141
Registry record updated Dec 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
113279 Issued in OK
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

Updated by the provider on Dec 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408003245 OK Practitioner - Nurse Practitioner 3072942283 Reassigns benefits to 3 organizations

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
Paradigm Wound Specialists LLCGroup PAC ID 4284086828, 12 clinicians

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 Inpatient rehabilitation facility, Broken Arrow, OK, CCN 373034

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R0113279OKMDNurse Practitioner
113279OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Muskogee Medical Care PLLC CurrentSince Mar 1, 2020 Accepting new patients
Pam Physician Enterprise CurrentSince Sep 1, 2020 Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Mar 1, 2020 Accepting new patients
Urgent Care of Muskogee PLLC CurrentSince Mar 1, 2020 Accepting new patients
Paradigm Wound Specialists LLC Nurse Practitioner CurrentSince Jan 1, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.