Optimal Health and Wellness, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

75953 Issued in KS

Legal business name

OPTIMAL HEALTH AND WELLNESS, LLC

Practice address

3601 W 133Rd St
Leawood, KS 66209-3345

Phone

(913) 787-3728

Fax

(913) 730-5463

NPI assigned

Sep 21, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Woodworth, APRNNPI 1215284971

Title

Managing Member

Phone

(913) 787-3728

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Amanda Corinne Woodworth, FNP-C, WHNP-BC

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1215284971
  Medicare reassignment Care Compare group Authorized official
• Stacie Barber

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1982417341
  Medicare reassignment Care Compare group NPD
• Mary Kaitlyn Hartnett, FNP-BC

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1447936034
  Medicare reassignment Care Compare group NPD
• Chelsea Marie Stuckey, APRN, FNP-BC

  • Family Nurse Practitioner
  • Leawood, KS
  • NPI 1619853900
  Medicare reassignment Care Compare group NPD
• Bryan Andrew Woodworth, CRNA

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1578522082
  Medicare reassignment Care Compare group NPD
• Julie Marie Richardson, L.S.C.S.W.

  • Clinical Social Worker
  • Leawood, KS
  • NPI 1790709319
  NPD (past)

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1275042350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66209",
            "telephone_number": "913-787-3728",
            "fax_number": "913-730-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 133RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662093345",
            "telephone_number": "913-787-3728",
            "fax_number": "913-730-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "WOODWORTH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "913-787-3728",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "KS",
            "license": "75953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nykeya Oliver, RBT
• Ann Marie Olsen-Meehan, LSCSW
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• Claire E Orwig, LCPC
• Alyssa Osterholm, OTD
• Blake C Overmiller, DPT

• Primary Care Clinic/Center in Leawood, KS
• Providers in Leawood, KS by specialty
• Primary Care Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.