Organization Active NPI

Optimal Health Recovery and Weight Loss LLC

  • General Practice Physician
  • Mt Sterling, KY
National Provider Identifier
1275140659
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPTIMAL HEALTH RECOVERY AND WEIGHT LOSS LLC
Doing business as
Optimal Health Recovery and Weight Loss LLC
Practice address
250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770
Phone
(859) 398-8252
NPI assigned
Sep 29, 2020
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Keshia Blevins
Title
Executive Director
Phone
(859) 398-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770

Mailing address

250 Foxglove Dr Ste 3
Mount Sterling, KY 40353-9770
Phone (859) 398-8252

Other names 1

  • Optimal Health Recovery and Weight Loss LLC Doing business as

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1275140659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 FOXGLOVE DR STE 3",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539770",
            "telephone_number": "859-398-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FOXGLOVE DR STE 3",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403539770",
            "telephone_number": "859-398-8252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH RECOVERY AND WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "KESHIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "859-398-5232"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Health Recovery and Weight Loss LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.