Active NPI
Optimus Health PLLC
- Nurse Practitioner
- High Point, NC
National Provider Identifier
1386997369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 143906
- Legal business name
- OPTIMUS HEALTH PLLC
- Practice address
- 6001 Evans Mill Rd
High Point, NC 27265-3175 - Phone
- (336) 491-2041
- NPI assigned
- Oct 16, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Stella Walson, NP
- Title
- Co-Owner
- Phone
- (336) 848-9064
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Nurse Practitioner | 363L00000X | 143906 | NC | Primary |
| Community Health Nurse Practitioner | 363LC1500X | 143906 | NC |
Addresses
Primary practice location
6001 Evans Mill Rd
High Point, NC 27265-3175
Mailing address
6001 Evans Mill Rd
High Point, NC 27265-3175
Phone (336) 491-2041
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Thomasville, NC
- NPI 1710284112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350345600000",
"number": "1386997369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 EVANS MILL RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272653175",
"telephone_number": "336-491-2041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 EVANS MILL RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272653175",
"telephone_number": "336-491-2041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUS HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-16",
"last_updated": "2012-10-16",
"status": "A",
"authorized_official_last_name": "WALSON",
"authorized_official_first_name": "STELLA",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "336-848-9064",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "143906",
"primary": true
},
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": "NC",
"license": "143906",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.