Optum

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

ARNP9285722 Issued in FL

Legal business name

OPTUM

Practice address

701 N Wilder Rd
Plant City, FL 33566-7547

Phone

(813) 293-4609

NPI assigned

Oct 14, 2013

Last updated

Oct 14, 2013By 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

Mr. Darrell L Peters, ARNP-BC

Title

Nurse Practitioner

Phone

(813) 293-4609

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1912335746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N WILDER RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667547",
            "telephone_number": "813-293-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N WILDER RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335667547",
            "telephone_number": "813-293-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-14",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "813-293-4609",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP-BC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "ARNP9285722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Plant City, FL
• Providers in Plant City, FL by specialty
• Point of Service in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.