Progressing Forward Medical and Mental Health Services LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

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

Nov 7, 2020

Last updated

Sep 14, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

PROGRESSING FORWARD MEDICAL AND MENTAL HEALTH SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Jasmine Shanae Hypolite-King, CNP

Title

Owner

Phone

(405) 439-5849

Specialties & licenses 3

Addresses

Electronic endpoints 1

Part of

Progressing Forward Medical

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1972104610",
    "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": "2020-11-07",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "HYPOLITE-KING",
        "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": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://app.acuityscheduling.com/schedule.php?owner=18603917",
            "affiliation": "N",
            "endpointDescription": "scheduler email",
            "address_1": "9000 NW 84th St",
            "city": "Yukon",
            "state": "OK",
            "country_code": "US",
            "postal_code": "730998677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Antonia M Pratt-Reid, ARNP
• Beth J Price, M.A., BCBA
• Justin Garret Price
• Sarah Marie Edzards Price, PSYD
• Progressing Forward Medical and Mental Health Services LLC
• Progressive Sleep Diagnostic, LLC
• Kimberly Prosser, LCSW
• PTMS 3.0,LLC (Physical Therapy Central of Yukon)
• Kathryn Claire Puckett, DPT
• Stetson Wayne Purgason

• Primary Care Nurse Practitioner in Yukon, OK
• Providers in Yukon, OK by specialty
• Primary Care Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.