Organization Active NPI

Progressing Forward Medical and Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sisseton, SD
National Provider Identifier
1093474074
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC
Practice address
611 Old Agency Dr
Sisseton, SD 57262-7224
Phone
(405) 439-5849
Fax
(310) 356-0781
NPI assigned
Dec 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Jasmine Shanae Hypolite, CNP
Title
Owner
Phone
(405) 439-5849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

611 Old Agency Dr
Sisseton, SD 57262-7224

Mailing address

9000 NW 84TH St
Yukon, OK 73099-8677
Phone (405) 439-5849

National Provider Directory

National Provider Directory

Locations

4255 S Buckley Rd
Aurora, CO 80013
Phone (303) 337-7716

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1093474074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 NW 84TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998677",
            "telephone_number": "405-439-5849",
            "fax_number": "310-356-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 OLD AGENCY DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627224",
            "telephone_number": "405-439-5849",
            "fax_number": "310-356-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "HYPOLITE",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "SHANAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-439-5849",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.