Organization Active NPI

Optimal Health Foundation Inc

  • General Practice Physician
  • Fort Lauderdale, FL
National Provider Identifier
1689500365
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPTIMAL HEALTH FOUNDATION INC
Practice address
1409 W Sistrunk Blvd Ste 104
Fort Lauderdale, FL 33311-7987
Phone
(954) 495-2889
NPI assigned
Jun 22, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Kristen Denise Harris, PHARM D
Title
President
Phone
(786) 395-0242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU

Addresses

Primary practice location

1409 W Sistrunk Blvd Ste 104
Fort Lauderdale, FL 33311-7987

Mailing address

1409 W Sistrunk Blvd Ste 104
Fort Lauderdale, FL 33311-7987
Phone (954) 495-2889

National Provider Directory

National Provider Directory

Locations

1409 W Sistrunk Blvd
Ste 104
Fort Lauderdale, FL 33311

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1689500365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W SISTRUNK BLVD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117987",
            "telephone_number": "954-495-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W SISTRUNK BLVD STE 104",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333117987",
            "telephone_number": "954-495-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-395-0242",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.