{"npi":"1376352765","type":"NPI-2","status":"active","name":{"display":"Optima Med Spa PLLC","other":[],"organization_name":"OPTIMA MED SPA PLLC","authorised_official":"Stephanie Johnson"},"specialty":{"primary_taxonomy":"133VN1201X","primary_taxonomy_description":"Obesity and Weight Management Nutrition Registered Dietitian","slug":"obesity-and-weight-management-nutrition-registered-dietitian","schema_org_specialty":null,"all":[{"code":"133VN1201X","description":"Obesity and Weight Management Nutrition Registered Dietitian","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1950 DODGE RD NE","city":"CEDAR RAPIDS","state":"IA","postal_code":"52402","country_code":"US","street_2":"SUITE 106 (INSIDE COLDSTREAM HEALTH)","phone":"3197687000"},{"purpose":"MAILING","street_1":"3315 WILLIAMS BLVD SW # 2-112","city":"CEDAR RAPIDS","state":"IA","postal_code":"524041478","country_code":"US","phone":"3195732891"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-12-31","last_updated":"2025-03-09","_meta":{"source":"NPPES","snapshot_date":"2025-03-09","doc_url":"https://findmynpi.com/api"}}