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Deactivated NPI 1578868402 Deactivated / Inactive NPI Male Practitioner

Jay Goodwin

Case Manager/Care Coordinator • Stillwater, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jay Goodwin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2011
NPI Deactivation Date February 27, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Jay Goodwin was a registered Case Manager/Care Coordinator practicing in Stillwater, OK. Throughout an active medical career spanning 14 years, Jay Goodwin provided care at the practice location at 712 DEVON ST until profile deactivation on 2025-02-27.

Practice Location & Contact Primary Location

Practice Address

712 Devon St

Stillwater, OK 740741926

Telephone 4053726100

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Stillwater, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 6.6 Yrs
Regional Practice Density
229 Specialists

Practicing in Stillwater, OK (8984 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

State License None NONE

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Kelsey Shelton

Social Worker

NPI 1306228358
James Kaiser

Counselor - Mental Health

NPI 1336632264
Karri Mcbride

Case Manager/Care Coordinator

NPI 1396045415
Rachel Korn

Case Manager/Care Coordinator

NPI 1629391735
Brittney Bradshaw

Case Manager/Care Coordinator

NPI 1699290726
Shila Rakey

Case Manager/Care Coordinator

NPI 1700108479

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2025

Record deactivated on February 27, 2025

NPI Profile Active January 25, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 25, 2011

Registered at 712 DEVON ST, STILLWATER, OK 740741926 (Tel: 4053726100)

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Updated Business Mailing Address January 25, 2011

Registered at 417 1/2 S KNOBLOCK ST, APT. B, STILLWATER, OK 740743483 (Tel: 7202850573)

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Provider Name / Credentials Updated January 25, 2011

Recorded as JAY GOODWIN

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2011

Case Manager/Care Coordinator (License #NONE in None)

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Initial NPI Registration & Enumeration January 25, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578868402
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2011
Last Update: January 25, 2011
Deactivation Date: February 27, 2025

Mailing Address

417 1/2 S Knoblock St, Apt. B

Stillwater, OK 740743483

Phone: 7202850573

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.