Individual provider Active NPI

Brooke Elizabeth Golwas, ARNP, MSN

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1689983553
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F0910053 Issued in OK
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
R 78737OtherOKOK BOARD OF NURSING
F0910053OtherOKAANP

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
I20210911000091 OK Practitioner - Nurse Practitioner 3870999121 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
F0910053OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Health PLLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1919 S Wheeling Ave
Ste 300
Tulsa, OK 74104
Phone (918) 748-7570

Interoperability endpoints

  • Direct secure messaging: brooke.golwas.1@24705.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.