{
"Npi": {
"NPI": "1356758817",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ABERNATHY",
"FirstName": "KIMBERLY",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN-CNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "RUSH",
"OtherFirstName": "KIMBERLY",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN-CNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 721077",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NORMAN",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73070-4829",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-366-8286",
"MailingAddressFaxNumber": "405-579-0477",
"FirstLinePracticeLocationAddress": "3300 HEALTHPLEX PKWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NORMAN",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73072-9749",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-366-8286",
"PracticeLocationAddressFaxNumber": "405-579-0477",
"EnumerationDate": "07/16/2014",
"LastUpdateDate": "02/02/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "92643",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}