Active NPI
Brooke Elizabeth Golwas, ARNP, MSN
- Family Nurse Practitioner
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0910053
- Practice address
- 1919 S Wheeling Ave Ste 300
Tulsa, OK 74104-5632 - Phone
- (918) 794-0701
- Fax
- (918) 794-0701
- NPI assigned
- Sep 27, 2010
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0910053 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave Ste 300
Tulsa, OK 74104-5632
Mailing address
2628 E 19TH St
Tulsa, OK 74104-5808
Phone (918) 521-7555
Other practice location 1
1705 E 19th St
Ste 600
Tulsa, OK 74104-5405
Phone (918) 742-8847
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R 78737 | Other | OK | OK BOARD OF NURSING |
| F0910053 | Other | OK | AANP |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1919 S Wheeling Ave
Tulsa, OK 74104-5632
Phone (918) 521-7555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0910053 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Health PLLC | Current | Accepting new patients |
Locations
1919 S Wheeling Ave
Ste 300
Tulsa, OK 74104
Phone (918) 748-7570
Interoperability endpoints
- brooke.golwas.1@24705.direct.athenahealth.com
- https://api.platform.athenahealth.com/24705/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689983553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2628 E 19TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741045808",
"telephone_number": "918-521-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741045632",
"telephone_number": "918-794-0701",
"fax_number": "918-794-0701"
}
],
"practiceLocations": [
{
"address_1": "1705 E 19th St",
"address_2": "Ste 600",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741045405",
"country_code": "US",
"telephone_number": "918-742-8847",
"fax_number": "918-877-1285",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLWAS",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "ARNP, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "F0910053",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OK BOARD OF NURSING",
"identifier": "R 78737",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AANP",
"identifier": "F0910053",
"state": "OK"
}
],
"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 Mar 17, 2018; 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.