Alexa J Gooden, PHD, RN, BC, CNS

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

32152 Issued in OK

Practice address

6125 S Sheridan Rd
Suite D
Tulsa, OK 74133-4056

Phone

(918) 585-3083

Fax

(918) 492-2075

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse

State licenses

Practice roles

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.

• Shadow Mountain Behavioral Health System, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tulsa, OK
  • NPI 1740384049
  NPD (past)
• Shadow Mountain Behavioral Health System, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Tulsa, OK
  • NPI 1821105263
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619074739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334055",
            "telephone_number": "918-492-8200",
            "fax_number": "918-493-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 S SHERIDAN RD",
            "address_2": "SUITE D",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334056",
            "telephone_number": "918-585-3083",
            "fax_number": "918-492-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODEN",
        "first_name": "ALEXA",
        "middle_name": "J",
        "credential": "PHD, RN, BC, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OK",
            "license": "32152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mathew Good, DO
• Warren L Good, DDS
• Christa Goodale
• Tamauri Goode
• Jennie Goodell
• Donald Bruce Gooden
• Jan Sharpless Goodhue, PTA
• Brittany Goodin, APRN
• Shay Lynn Goodin
• Jeffrey M Goodloe, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.