Organization Active NPI

Optimal Health PLLC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1366979122
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.