Organization Active NPI

Optimal Function and Wellness, PLLC

  • Medical Specialty Clinic/Center
  • Daleville, VA
National Provider Identifier
1164253183
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
OPTIMAL FUNCTION AND WELLNESS, PLLC
Practice address
1454 Roanoke Rd
Daleville, VA 24083-2935
Phone
(540) 312-3981
NPI assigned
Aug 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Dr. Sherry Michelle Boone, ACNP-C
Title
Owner
Phone
(540) 312-3981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

1454 Roanoke Rd
Daleville, VA 24083-2935

Mailing address

1454 Roanoke Rd
Daleville, VA 24083-2935
Phone (540) 312-3981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1164253183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832935",
            "telephone_number": "540-312-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 ROANOKE RD",
            "city": "DALEVILLE",
            "state": "VA",
            "postal_code": "240832935",
            "telephone_number": "540-312-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL FUNCTION AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-312-3981",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ACNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daleville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.