NPIMap

Organization Active NPI

Optimal Wellness, LLC

  • Health Service Clinic/Center
  • Westminster, MD
National Provider Identifier
1326464272
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
R084575 Issued in MD
Legal business name
OPTIMAL WELLNESS, LLC
Practice address
1812 Baltimore Blvd
Suite C
Westminster, MD 21157-7146
Phone
(410) 861-5256
Fax
(410) 861-5258
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Laura A Ruby, CRNP
Title
Owner
Phone
(410) 861-5256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X R084575 MD Primary

Addresses

Primary practice location

1812 Baltimore Blvd
Suite C
Westminster, MD 21157-7146

Mailing address

1812 Baltimore Blvd
Suite C
Westminster, MD 21157-7146
Phone (410) 861-5256

National Provider Directory

National Provider Directory
Tax ID family
Optimal Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1326464272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-861-5256",
            "fax_number": "410-861-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 BALTIMORE BLVD",
            "address_2": "SUITE C",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211577146",
            "telephone_number": "410-861-5256",
            "fax_number": "410-861-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-861-5256",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "R084575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.