Organization Active NPI

Nunehe Fitness

  • Health Service Clinic/Center
  • Washington, DC
National Provider Identifier
1215251491
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
NUNEHE FITNESS
Practice address
2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537
Phone
(202) 588-8056
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Mr. Gerald Roger Davis, M.A.,CPFT
Title
Owner, Health Consultant
Phone
(202) 588-8056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X DC Primary

Addresses

Primary practice location

2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537

Mailing address

2639 Connecticut Ave NW
Suite 251
Washington, DC 20008-1537
Phone (202) 588-8056

Other identifiers 3

IdentifierTypeStateIssuer
91552MedicaidDC
1555MedicaidDC
9155MedicaidDC

Other names 1

  • Georgetown Fitness Studio Former legal business name

National Provider Directory

National Provider Directory

Locations

2639 Connecticut Ave NW
Ste 251
Washington, DC 20008
Phone (240) 722-1014

NPI Registry JSON

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1215251491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "202-588-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 CONNECTICUT AVE NW",
            "address_2": "SUITE 251",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200081537",
            "telephone_number": "202-588-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNEHE FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "OWNER,  HEALTH CONSULTANT",
        "authorized_official_telephone_number": "202-588-8056",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A.,CPFT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91552",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1555",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9155",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Fitness Studio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.