Organization Active NPI

Peak Integrative Health LLC

Doing business as Optimal Integrative Health

  • Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1316693328
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
PEAK INTEGRATIVE HEALTH LLC
Doing business as
Optimal Integrative Health
Practice address
11420 Broadway
Crown Point, IN 46307-7106
Phone
(219) 661-8680
Fax
(219) 661-8280
NPI assigned
Feb 28, 2022
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Dr. Ashley Renee Nelson, DC, FNPNPI 1871985010
Title
President
Phone
(641) 891-7384

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

11420 Broadway
Crown Point, IN 46307-7106

Mailing address

232 Edinburgh St
Valparaiso, IN 46385-9306
Phone (641) 891-7384

Other names 1

  • Optimal Integrative Health Doing business as

National Provider Directory

National Provider Directory

Locations

11420 Broadway
Crown Point, IN 46307
Phone (219) 661-8680

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1316693328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 EDINBURGH ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463859306",
            "telephone_number": "641-891-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 BROADWAY",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463077106",
            "telephone_number": "219-661-8680",
            "fax_number": "219-661-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-891-7384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, FNP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Integrative Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.