{
"Npi": {
"NPI": "1841843265",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOPKINS",
"FirstName": "STEPHANIE",
"MiddleName": "N",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "APRN-CPNP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WHITE",
"OtherFirstName": "STEPHANIE",
"OtherMiddleName": "N",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "APRN-CPNP",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3000 N GRAND BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OKLAHOMA CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73107-1818",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-632-6888",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "508 W VANDAMENT AVE STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "YUKON",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73099-4666",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-632-6888",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/24/2019",
"LastUpdateDate": "03/08/2024",
"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": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "87770",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "87770",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208000000X",
"TaxonomyName": "Pediatrics Physician",
"LicenseNumber": "R87770",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LP0200X",
"TaxonomyName": "Pediatric Nurse Practitioner",
"LicenseNumber": "R0087770",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}