Organization Active NPI

Progressing Forward Medical and Mental Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yukon, OK
National Provider Identifier
1194484642
Registry record updated Dec 13, 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
9000 NW 84TH St
Yukon, OK 73099-8677
Phone
(405) 439-5849
Fax
(310) 356-0781
NPI assigned
Dec 13, 2021
Organization subpart
Yes
Parent organization
PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 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

9000 NW 84TH St
Yukon, OK 73099-8677

Mailing address

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

National Provider Directory

National Provider Directory
Part of
Progressing Forward Medical

NPI Registry JSON

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1194484642",
    "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": "9000 NW 84TH ST",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998677",
            "telephone_number": "405-439-5849",
            "fax_number": "310-356-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLC",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-11-23",
        "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 Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.