Active NPI
Brandy Amberlyn Goodwin, RN
- Ambulatory Care Registered Nurse
- Tulsa, OK
National Provider Identifier
1992596035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Registered Nurse
- License
- R0110609
- Practice address
- 10159 E 11TH St
Tulsa, OK 74128-3058 - Phone
- (918) 686-3246
- NPI assigned
- May 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | R0110609 | OK | Primary |
Addresses
Primary practice location
10159 E 11TH St
Tulsa, OK 74128-3058
Mailing address
10159 E 11TH St
Tulsa, OK 74128-3058
Phone (918) 686-3246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0110609 | OK | MD | Ambulatory Care Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1992596035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10159 E 11TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741283058",
"telephone_number": "918-686-3246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10159 E 11TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741283058",
"telephone_number": "918-686-3246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "BRANDY",
"middle_name": "AMBERLYN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-16",
"last_updated": "2025-05-16",
"certification_date": "2025-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Ambulatory Care",
"state": "OK",
"license": "R0110609",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.