{
"Npi": {
"NPI": "1700772209",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "REESE",
"FirstName": "SUZANNE",
"MiddleName": "DANYELLE",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "RN, BSN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "28190 E 114TH ST S",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COWETA",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74429-3943",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "918-606-1259",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "8921 S MINGO RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TULSA",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74133-5841",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "918-252-8000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/13/2025",
"LastUpdateDate": "06/13/2025",
"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": "163WP0809X",
"TaxonomyName": "Adult Psychiatric/Mental Health Registered Nurse",
"LicenseNumber": "R0091804",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}