Organization Active NPI

Flying 3Sixty Nax, Inc.

  • Health & Wellness Coach
  • Far Rockaway, NY
National Provider Identifier
1053067546
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
FLYING 3SIXTY NAX, INC.
Practice address
432 Beach 47TH St Apt 2
Far Rockaway, NY 11691-1119
Phone
(718) 688-5154
Fax
(347) 619-5538
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Natasha CarterNPI 1871171587
Title
Executive Officer
Phone
(718) 688-5154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

432 Beach 47TH St Apt 2
Far Rockaway, NY 11691-1119

Mailing address

432 Beach 47TH St Apt 2
Far Rockaway, NY 11691-1119
Phone (718) 688-5154

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.flying3sixtynax.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1053067546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 BEACH 47TH ST APT 2",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911119",
            "telephone_number": "718-688-5154",
            "fax_number": "347-619-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 BEACH 47TH ST APT 2",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911119",
            "telephone_number": "718-688-5154",
            "fax_number": "347-619-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYING 3SIXTY NAX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-688-5154"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.flying3sixtynax.com",
            "affiliation": "N",
            "endpointDescription": "url",
            "address_1": "432 Beach 47th St Apt 2",
            "city": "Far Rockaway",
            "state": "NY",
            "country_code": "US",
            "postal_code": "116911119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.