Active NPI
Optimum Health Solutions
- Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- OPTIMUM HEALTH SOLUTIONS
- Practice address
- 5925 Haverford Ave
Philadelphia, PA 19151-4407 - Phone
- (610) 304-3266
- NPI assigned
- Oct 23, 2023
- Last updated
- Oct 24, 2023
- 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
- Inaisha Marie Jackson, CRNP
- Title
- Ceo
- Phone
- (610) 304-3266
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
5925 Haverford Ave
Philadelphia, PA 19151-4407
Mailing address
5925 Haverford Ave
Philadelphia, PA 19151-4407
Phone (610) 304-3266
National Provider Directory
National Provider Directory- Tax ID family
- Optimum Health Solutions
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Philadelphia, PA
- NPI 1982478939
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.
-
- Primary Care Nurse Practitioner
- Trenton, NJ
- NPI 1386005460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1609648849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5925 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191514407",
"telephone_number": "610-304-3266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5925 HAVERFORD AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191514407",
"telephone_number": "610-304-3266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-23",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "INAISHA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "610-304-3266",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
- Optimal Physical Therapy Gym, LLC
- Optimal Support for Everyday Lives (Optimal LLC)
- Optimal Wellness & Body Sculpting Inc.
- Optimum Choice Care LLC
- Optimum Health Chiropractic
- Optimum Health Solutions
- Optimum Home Care Solutions LLC
- Optum Behavioral Care of Connecticut, P.C. (Springfield Behavioral of Pennsylvania)
- Gabrielle Ines Oquendo, DO
- Jerilyn Catherine Oquendo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.