Active NPI
Optimize Health LLC
- Primary Care Nurse Practitioner
- Pembroke Pines, FL
National Provider Identifier
1679346266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- OPTIMIZE HEALTH LLC
- Practice address
- 710 SW 64TH Way
Pembroke Pines, FL 33023-1540 - Phone
- (305) 492-5175
- NPI assigned
- Nov 6, 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
- Korita Johnson, DNP
- Title
- Aprn
- Phone
- (305) 492-5175
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
710 SW 64TH Way
Pembroke Pines, FL 33023-1540
Mailing address
710 SW 64TH Way
Pembroke Pines, FL 33023-1540
Phone (305) 492-5175
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- West Palm Beach, FL
- NPI 1528475183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699228800000",
"number": "1679346266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 SW 64TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330231540",
"telephone_number": "305-492-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 SW 64TH WAY",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330231540",
"telephone_number": "305-492-5175"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMIZE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-06",
"last_updated": "2023-11-06",
"certification_date": "2023-11-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "KORITA",
"authorized_official_title_or_position": "APRN",
"authorized_official_telephone_number": "305-492-5175",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.