NPIMap

Organization Active NPI

Optimal Health PLLC

  • Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1952838708
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
OPTIMAL HEALTH PLLC
Practice address
2905 Tazewell Pike
Knoxville, TN 37918-1874
Phone
(865) 686-1600
Fax
(865) 686-3380
NPI assigned
May 11, 2017
Organization subpart
Yes
Parent organization
OPTIMAL HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Ms. Cathy A. Humphrey
Title
Corporate Compliance Officer
Phone
(865) 691-9055

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2905 Tazewell Pike
Knoxville, TN 37918-1874

Mailing address

8874 Kingston Pike Ste 100
Knoxville, TN 37923-5025
Phone (865) 691-9055

National Provider Directory

National Provider Directory
Part of
Optimal Health PLLC

Locations

11660 Parkside Dr
Knoxville, TN 37934
Phone (865) 288-4200

8906 Kingston Pike
Knoxville, TN 37923
Phone (865) 690-4200

8874 Kingston Pike
Ste 202
Knoxville, TN 37923
Phone (865) 691-9055

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1952838708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8874 KINGSTON PIKE STE 100",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235025",
            "telephone_number": "865-691-9055",
            "fax_number": "865-531-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 TAZEWELL PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181874",
            "telephone_number": "865-686-1600",
            "fax_number": "865-686-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL HEALTH PLLC",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "865-691-9055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.