Optimum Family Health

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

OPTIMUM FAMILY HEALTH

Practice address

9424 Baymeadows Rd Ste 250
Jacksonville, FL 32256-7967

Phone

(904) 402-5539

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Natasha Henderson, APRN

Title

Owner

Phone

(904) 402-5539

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1447922604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 BAYMEADOWS RD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 BAYMEADOWS RD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567967",
            "telephone_number": "904-402-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-402-5539",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN9205601",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "optimumfamilyhealth@gmail.com",
            "affiliation": "N",
            "address_1": "9424 Baymeadows Rd Ste 250",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322567967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.

Verify at the official NPI Registry.