Optimum Wellness & Hydration, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OPTIMUM WELLNESS & HYDRATION, LLC

Practice address

16 Medical Center Dr
Monroeville, AL 36460-3036

Phone

(251) 239-9198

NPI assigned

Jun 13, 2024

Last updated

Jul 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Bright, NPNPI 1982138772

Title

Co-Owner

Phone

(251) 593-6171

Specialties & licenses 1

Addresses

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.

• Kimberly Bright

  • Family Nurse Practitioner
  • Bay Minette, AL
  • NPI 1982138772
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1487497897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1318",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364611318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MEDICAL CENTER DR",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364603036",
            "telephone_number": "251-239-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM WELLNESS & HYDRATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "BRIGHT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "251-593-6171",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Monroeville, AL
• Providers in Monroeville, AL by specialty
• General Practice Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.