Organization Active NPI

Optima Afya Clinic LLC

  • Family Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1184593816
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OPTIMA AFYA CLINIC LLC
Practice address
2516 Woodfield Way
Bedford, TX 76021-2617
Phone
(316) 519-9372
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Authorized official

Name
Koi-Lucie AbbottNPI 1821740309
Title
Owner, NP
Phone
(316) 519-9372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2516 Woodfield Way
Bedford, TX 76021-2617

Mailing address

2516 Woodfield Way
Bedford, TX 76021-2617
Phone (316) 519-9372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251113001493 TX Part B Supplier - Clinic/Group Practice 2163913542 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1184593816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2516 WOODFIELD WAY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212617",
            "telephone_number": "316-519-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 WOODFIELD WAY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212617",
            "telephone_number": "316-519-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA AFYA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "KOI-LUCIE",
        "authorized_official_title_or_position": "OWNER, NP",
        "authorized_official_telephone_number": "316-519-9372"
    },
    "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 Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.