Jonathan Perry Goodwin, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201903 Issued in OK

Practice address

4110 S 100TH East Ave Ste 201
Tulsa, OK 74146-3629

Phone

(918) 857-7246

Fax

(918) 359-5828

NPI assigned

Jan 14, 2021

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 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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Pain Management LLCGroup PAC ID 8628390515, 8 clinicians

Allergy Clinic of Tulsa IncGroup PAC ID 7315925831, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FADFAD
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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.

• Allergy Clinic of Tulsa, Inc.

  • Allergy Physician
  • Tulsa, OK
  • NPI 1538270954
  Medicare reassignment Care Compare group NPD
• Precision Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
  • NPI 1841692274
  Medicare reassignment Care Compare group NPD
• Provectus Diagnostics LLC

  • Clinical Medical Laboratory
  • Tulsa, OK
  • NPI 1104213156
  NPD
• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1336738293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 S 100TH EAST AVE STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463629",
            "telephone_number": "918-857-7246",
            "fax_number": "918-359-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 S 100TH EAST AVE STE 201",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463629",
            "telephone_number": "918-857-7246",
            "fax_number": "918-359-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "JONATHAN",
        "middle_name": "PERRY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "201903",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "R0129507",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodwill Industries of Tulsa Inc
• Goodwill Industries of Tulsa Inc
• Goodwill Industries of Tulsa Inc
• Alyssa Goodwin
• Brandy Amberlyn Goodwin, RN
• Kale Thomas Goodwin
• Kristy Goodwin
• Lance Brandon Goodwin, D.C.
• Mary Helen Goodwin
• Robert Brock Goodwin, D.O.

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.

Verify at the official NPI Registry.