Active NPI
Optimal Health PLLC
- Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1366979122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- OPTIMAL HEALTH PLLC
- Practice address
- 8874 Kingston Pike
Suite 202
Knoxville, TN 37923-5010 - Phone
- (865) 691-9055
- Fax
- (865) 531-9018
- NPI assigned
- May 11, 2017
- Organization subpart
- Yes
- Parent organization
- OPTIMAL HEALTH PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cathy A Humphrey
- Title
- Corporate Compliance Officer
- Phone
- (865) 691-9055
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
8874 Kingston Pike
Suite 202
Knoxville, TN 37923-5010
Mailing address
217 N Calderwood St
Alcoa, TN 37701-2111
Phone (865) 983-8330
National Provider Directory
National Provider Directory- Part of
- Optimal Health PLLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649808000000",
"number": "1366979122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 N CALDERWOOD ST",
"city": "ALCOA",
"state": "TN",
"postal_code": "377012111",
"telephone_number": "865-983-8330",
"fax_number": "865-862-8099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8874 KINGSTON PIKE",
"address_2": "SUITE 202",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379235010",
"telephone_number": "865-691-9055",
"fax_number": "865-531-9018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL HEALTH PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "OPTIMAL HEALTH PLLC",
"enumeration_date": "2017-05-11",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A",
"authorized_official_last_name": "HUMPHREY",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
"authorized_official_telephone_number": "865-691-9055",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.