Four Friends Fitness LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

FOUR FRIENDS FITNESS LLC

Practice address

8106 Old Kings Rd S Ste 4
Jacksonville, FL 32217-5526

Phone

(904) 586-2118

NPI assigned

Dec 18, 2021

Organization subpart

No

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

Authorized official

Name

Takenya LampkinsNPI 1205507241

Title

Owner

Phone

(904) 235-9429

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Takenya S Lampkins

  • Exercise & Sports Psychologist
  • Jacksonville, FL
  • NPI 1205507241
  NPD Authorized official

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

{
    "created_epoch": "1639785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639785600000",
    "number": "1043970031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 OLD KINGS RD S STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322175526",
            "telephone_number": "904-586-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8106 OLD KINGS RD S STE 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322175526",
            "telephone_number": "904-586-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR FRIENDS FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-18",
        "last_updated": "2021-12-18",
        "certification_date": "2021-12-18",
        "status": "A",
        "authorized_official_last_name": "LAMPKINS",
        "authorized_official_first_name": "TAKENYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-235-9429"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "226300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health & Wellness Coach in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health & Wellness Coach in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2021; 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.