Fit for Life Ministries Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

FIT FOR LIFE MINISTRIES INC

Practice address

600 Common St
Shreveport, LA 71101-3432

Phone

(318) 347-2208

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert E Blount, PROFESSIONAL TRAINERNPI 1528394368

Title

President

Phone

(318) 347-2208

Specialties & licenses 1

Addresses

Other names 1

• N/A Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Earl Blount, N/A

  • Community Health Worker
  • Shreveport, LA
  • NPI 1528394368
  NPD (past) Authorized official

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1003271479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 COMMON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013432",
            "telephone_number": "318-347-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 COMMON ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013432",
            "telephone_number": "318-347-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR LIFE MINISTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOUNT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-347-2208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROFESSIONAL TRAINER"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joanna Fisher
• Lashawnda Monique Fisher
• Sherika Fisher, MHS
• Thomas Fisher, RPH
• Vernicia Fisher
• Joseph Fitz-Gerald
• Mary Jo Fitz-Gerald, M.D.
• Carolyn Fitzgerald
• Julia Fitzgerald
• Kenneth Carl James Fitzgerald III, MD

• Community Health Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Community Health Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.