{
"Npi": {
"NPI": "1215825484",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "TRUE BELIEVERS FAMILY CLINIC PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1175 S ASPEN AVE STE K",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROKEN ARROW",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74012-4800",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "833-524-2400",
"MailingAddressFaxNumber": "918-290-4943",
"FirstLinePracticeLocationAddress": "1081 N BIRCH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROKEN ARROW",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74012-2692",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-461-0422",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/26/2025",
"LastUpdateDate": "06/26/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
"AuthorizedOfficialFirstName": "ANDRENE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN-CNP",
"AuthorizedOfficialTelephoneNumber": "918-269-1600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}