OPTIMA MED SPA PLLC
NPI 1376352765
Dietitian, Registered - Nutrition, Obesity and Weight Management in Cedar Rapids, IA

Active since December 31, 2024
1950 DODGE RD NE, SUITE 106 (INSIDE COLDSTREAM HEALTH), CEDAR RAPIDS, IA 52402(319) 768-7000 Get Directions Write a Review

NPPES record last updated: March 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2025, Jan 9, 2025, Dec 31, 2024 (3 updates tracked since 2024).

About Optima Med Spa Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMA MED SPA PLLC (NPI 1376352765), doing business as Optima Medical Weight Loss & Wellness, is a healthcare organization registered as a nutrition, obesity and weight management in Cedar Rapids, Iowa and active in the NPI registry since December 2024. The organization lists Stephanie Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1376352765
Entity TypeOrganization
Primary Taxonomy133VN1201X
Legal Business NameOPTIMA MED SPA PLLC
Location Address1950 DODGE RD NE, SUITE 106 (INSIDE COLDSTREAM HEALTH)Cedar Rapids, IA 52402
Mailing Address3315 Williams Blvd Sw # 2-112Cedar Rapids, IA 52404-1478 · (319) 573-2891
Organization SubpartNo
Authorized OfficialStephanie JohnsonOwner · (319) 768-7000
Enumeration DateDecember 31, 2024
Last NPPES UpdateMarch 9, 20253 updates tracked since enumeration
NPPES CertifiedMarch 9, 2025
NPI 1376352765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
1950 DODGE RD NE, Cedar Rapids, IA 52402

Other Names 1

Doing Business AsOptima Medical Weight Loss & Wellness

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1950 DODGE RD NE, STE 104
CEDAR RAPIDS, IA 52402
Chiropractor
1950 DODGE RD NE, SUITE 104
CEDAR RAPIDS, IA 52402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optima Med Spa PLLC's NPI number?

The NPI number for Optima Med Spa PLLC is 1376352765. It was assigned to this organization in the NPPES registry on December 31, 2024. The provider is doing business as Optima Medical Weight Loss & Wellness.

Where is Optima Med Spa PLLC located?

Optima Med Spa PLLC is located at 1950 Dodge Rd NE Suite 106 (inside Coldstream Health), Cedar Rapids, IA 52402. The listed phone number is (319) 768-7000.

What is Optima Med Spa PLLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

When was this NPI record last updated?

The NPPES record for Optima Med Spa PLLC was last updated on March 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.