Organization Active NPI

Optimal Outlook Nutrition LLC

  • Metabolic Nutrition Registered Dietitian
  • Caldwell, WV
National Provider Identifier
1902651375
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X
Legal business name
OPTIMAL OUTLOOK NUTRITION LLC
Doing business as
Optimal Outlook Nutrition LLC
Practice address
636 Pumpkin Run
Caldwell, WV 24925-7142
Phone
(304) 667-1630
NPI assigned
Apr 19, 2024
Last updated
Apr 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Abigail Gottshall, MS, RDN, LDNPI 1003376757
Title
Ceo
Phone
(304) 667-1630

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)CodeLicenseStatePrimary
Metabolic Nutrition Registered Dietitian 133VN1006X NU Primary

Addresses

Primary practice location

636 Pumpkin Run
Caldwell, WV 24925-7142

Mailing address

636 Pumpkin Run
Caldwell, WV 24925-7142
Phone (304) 667-1630

Other names 1

  • Optimal Outlook Nutrition LLC Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1902651375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 PUMPKIN RUN",
            "city": "CALDWELL",
            "state": "WV",
            "postal_code": "249257142",
            "telephone_number": "304-667-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 PUMPKIN RUN",
            "city": "CALDWELL",
            "state": "WV",
            "postal_code": "249257142",
            "telephone_number": "304-667-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL OUTLOOK NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "GOTTSHALL",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "304-667-1630",
        "authorized_official_credential": "MS, RDN, LD"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Outlook Nutrition LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.