Organization Active NPI

Optimal Health and Wellness, LLC

  • Health Service Clinic/Center
  • Austin, TX
National Provider Identifier
1073935227
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
608462 Issued in TX
Legal business name
OPTIMAL HEALTH AND WELLNESS, LLC
Practice address
9442 N Capital of Texas Hwy
Arboretum Plaza One, Suite 500
Austin, TX 78759-7262
Phone
(512) 343-3665
Fax
(855) 791-0415
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Julie Lynn Long, WHNP
Title
Owner/NP
Phone
(512) 343-3665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 608462 TX Primary

Addresses

Primary practice location

9442 N Capital of Texas Hwy
Arboretum Plaza One, Suite 500
Austin, TX 78759-7262

Mailing address

9442 N Capital of Texas Hwy
Arboretum Plaza One, Suite 500
Austin, TX 78759-7262
Phone (512) 343-3665

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1073935227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9442 N CAPITAL OF TEXAS HWY",
            "address_2": "ARBORETUM PLAZA ONE, SUITE 500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597262",
            "telephone_number": "512-343-3665",
            "fax_number": "855-791-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9442 N CAPITAL OF TEXAS HWY",
            "address_2": "ARBORETUM PLAZA ONE, SUITE 500",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597262",
            "telephone_number": "512-343-3665",
            "fax_number": "855-791-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "512-343-3665",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "WHNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "608462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.