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1689471161 NPI number — GEORGEANN TREVA STOOPS RN

NPI Number: 1689471161
Health Care Provider/Practitioner: GEORGEANN TREVA STOOPS RN

Information about “1689471161” NPI (GEORGEANN TREVA STOOPS RN) exists in 1689471161 in HTML format HTML  |  1689471161 in plain Text format TXT  |  1689471161 in PDF (Portable Document Format) PDF  |  1689471161 in an XML format XML  formats.

NPI Number : 1689471161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689471161",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STOOPS",
    "FirstName": "GEORGEANN",
    "MiddleName": "TREVA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8306 S SILVER RDG",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STILLWATER",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "74074-6654",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "918-625-0013",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3400 NW EXPRESSWAY STE 200",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OKLAHOMA CITY",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73112-4491",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-713-9900",
    "PracticeLocationAddressFaxNumber": "405-713-9920",
    "EnumerationDate": "03/03/2025",
    "LastUpdateDate": "09/05/2025",
    "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": "364SG0600X",
          "TaxonomyName": "Gerontology Clinical Nurse Specialist",
          "LicenseNumber": "224999",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "R0068589",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "364SA2200X",
          "TaxonomyName": "Adult Health Clinical Nurse Specialist",
          "LicenseNumber": "224999",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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