James-Tyler Dylan Winnard

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA17077 Issued in TX

Practice address

1701 N Classen Blvd Apt 309
Oklahoma City, OK 73106-6009

Phone

(580) 222-9434

NPI assigned

May 1, 2023

Last updated

Sep 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Associates of Central Texas PA

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1215418280
  Medicare reassignment
• Longhorn Emergency Medical Associates PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1649669672
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1225727837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N CLASSEN BLVD APT 309",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N CLASSEN BLVD APT 309",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731066009",
            "telephone_number": "580-222-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINNARD",
        "first_name": "JAMES-TYLER",
        "middle_name": "DYLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17077",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Annette Winick, M.D.
• Jesse Winlock
• Brooks Winn, PMHNP-BC
• Riley Madalynn Winn
• Sharon Kay Winn, MED,LBP
• Sharon D Winnick
• Marci Winningham, APRN-CNS, MS, CCNS
• Shayla Winrow
• McKenzie Winsemius
• Clinton Alan Winslow, M.D.

• Physician Assistant in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.