Active NPI
Progressing Forward Medical and Mental Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Yukon, OK
National Provider Identifier
1194484642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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.