Your Optimal Healthcare LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

YOUR OPTIMAL HEALTHCARE LLC

Practice address

409 W Osage St
Pacific, MO 63069-1332

Phone

(636) 200-8555

Fax

(636) 200-8560

NPI assigned

Feb 12, 2019

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Orris, NP

Title

Owner

Phone

(636) 200-8555

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19027/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1114483468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-200-8555",
            "fax_number": "636-200-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OSAGE ST",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630691332",
            "telephone_number": "636-200-8555",
            "fax_number": "636-200-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR OPTIMAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-12",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "ORRIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-200-8555",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Williams, M.D.
• Keydra S Williams
• Winchester Spine and Sport of Pacific-Eureka LLC
• Jessica Wittich, FNP
• Kelly Joy Worth, D.C.

• Primary Care Clinic/Center in Pacific, MO
• Providers in Pacific, MO by specialty
• Primary Care Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.