Organization Active NPI

Optimal T Center, LLC

  • Family Nurse Practitioner
  • Katy, TX
National Provider Identifier
1396144481
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP122302 Issued in TX
Legal business name
OPTIMAL T CENTER, LLC
Practice address
21820 Kingsland Blvd
Ste 101
Katy, TX 77450-2508
Phone
(832) 321-5402
Fax
(832) 321-5407
NPI assigned
Aug 14, 2014
Last updated
Dec 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Lori Stephens
Title
Office Manager
Phone
(832) 321-5402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP122302 TX Primary

Addresses

Primary practice location

21820 Kingsland Blvd
Ste 101
Katy, TX 77450-2508

Mailing address

21820 Kingsland Blvd
Ste 101
Katy, TX 77450-2508
Phone (832) 321-5402

National Provider Directory

National Provider Directory

Locations

21820 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (832) 321-5402

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1396144481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21820 KINGSLAND BLVD",
            "address_2": "STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502508",
            "telephone_number": "832-321-5402",
            "fax_number": "832-321-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21820 KINGSLAND BLVD",
            "address_2": "STE 101",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502508",
            "telephone_number": "832-321-5402",
            "fax_number": "832-321-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL T CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-321-5402"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP122302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.