Active NPI
Defy Medical LLC
- Gerontology Nurse Practitioner
- Sand Springs, OK
National Provider Identifier
1023963097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- DEFY MEDICAL LLC
- Practice address
- 1102 N 177TH West Ave
Sand Springs, OK 74063-8172 - Phone
- (918) 636-1289
- NPI assigned
- Mar 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyndsey Smith, APRN
- Title
- Owner
- Phone
- (918) 636-1289
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | Primary |
Addresses
Primary practice location
1102 N 177TH West Ave
Sand Springs, OK 74063-8172
Mailing address
1102 N 177TH West Ave
Sand Springs, OK 74063-8172
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Oklahoma City, OK
- NPI 1811444078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772496000000",
"number": "1023963097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 N 177TH WEST AVE",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740638172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 N 177TH WEST AVE",
"city": "SAND SPRINGS",
"state": "OK",
"postal_code": "740638172",
"telephone_number": "918-636-1289"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEFY MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-03",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "LYNDSEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-636-1289",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sand Springs, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.