Optvida, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

OPTVIDA, LLC

Practice address

1034 Rsi Dr Unit 120
Logan, UT 84321-2203

Phone

(435) 704-9342

Fax

(435) 355-3874

NPI assigned

Jan 17, 2024

Last updated

Jan 17, 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

Candace Ann James, PMHNP-BCNPI 1831632348

Title

Owner

Phone

(435) 553-5915

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.

• Candace Ann James, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Logan, UT
  • NPI 1831632348
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1740041748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E 500 S",
            "city": "PROVIDENCE",
            "state": "UT",
            "postal_code": "843329801",
            "telephone_number": "435-553-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 RSI DR UNIT 120",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843212203",
            "telephone_number": "435-704-9342",
            "fax_number": "435-355-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTVIDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-553-5915",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ranee Olson, CSW
• Roger A Olson
• D. Kim Openshaw, PH.D., LCSW, LMFT
• Options for Independence
• Options for Independence
• Ora Counseling
• Ora Counseling
• David Orth, PHARMD
• Kylie Grace Ortiz, MOT, OTR/L
• Allison Michelle Orton

• Psychiatric/Mental Health Nurse Practitioner in Logan, UT
• Providers in Logan, UT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.