Active NPI
Optimal T CB LLC
- Family Nurse Practitioner
- Council Bluffs, IA
National Provider Identifier
1427648955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- OPTIMAL T CB LLC
- Practice address
- 1030 Wright Rd Ste 3
Council Bluffs, IA 51501-8804 - Phone
- (712) 256-5544
- NPI assigned
- Jan 19, 2021
- Last updated
- Jan 19, 2021
- 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
- Lori Stephens
- Title
- Access Manager
- Phone
- (712) 256-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1030 Wright Rd Ste 3
Council Bluffs, IA 51501-8804
Mailing address
1030 Wright Rd Ste 3
Council Bluffs, IA 51501-8804
Phone (712) 256-5544
National Provider Directory
National Provider DirectoryLocations
1030 Wright Rd
Ste 3
Council Bluffs, IA 51501
Phone (712) 256-5544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611014400000",
"number": "1427648955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 WRIGHT RD STE 3",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515018804",
"telephone_number": "712-256-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 WRIGHT RD STE 3",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515018804",
"telephone_number": "712-256-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL T CB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "ACCESS MANAGER",
"authorized_official_telephone_number": "712-256-5544"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
- Omni Dental Centres, LLP
- On the Go HME, Inc. (On The Go Home Medical Equipment & Supplies)
- Oncare Hospice Ia LLC
- Alfred Nyabwari Ongesa, PMHNP-NP
- Open Arms Home Health Care - Council Bluffs, LLC
- Options Community Counseling
- Ivy Orellana
- Orthowest LLC (OrthoNebraska Clinics)
- Ada I Ortiz-Bianchi, M.D.
- Amanda Osler
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.