Active NPI
Optimal You LLC
- Family Nurse Practitioner
- Omaha, NE
National Provider Identifier
1104688050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OPTIMAL YOU LLC
- Practice address
- 17935 Welch PLZ Ste 106
Omaha, NE 68135-3596 - Phone
- (531) 999-1109
- Fax
- (531) 999-1744
- NPI assigned
- Jan 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- James Stephens
- Title
- Owner
- Phone
- (531) 999-1109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
17935 Welch PLZ Ste 106
Omaha, NE 68135-3596
Mailing address
17935 Welch PLZ Ste 106
Omaha, NE 68135-3596
Phone (531) 999-1109
National Provider Directory
National Provider DirectoryLocations
17935 Welch Plz
Ste 106
Omaha, NE 68135
Phone (531) 999-1109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706227200000",
"number": "1104688050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17935 WELCH PLZ STE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353596",
"telephone_number": "531-999-1109",
"fax_number": "531-999-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17935 WELCH PLZ STE 106",
"city": "OMAHA",
"state": "NE",
"postal_code": "681353596",
"telephone_number": "531-999-1109",
"fax_number": "531-999-1744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL YOU LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-26",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "531-999-1109"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.