C.L.U.B Blessed Weight Management Inc.

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

C.L.U.B BLESSED WEIGHT MANAGEMENT INC.

Practice address

250 Main St
Pawtucket, RI 02860-4016

Phone

(774) 379-9761

NPI assigned

Aug 4, 2020

Last updated

Aug 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Jean Barboza, CERTIFIEDNPI 1225699010

Title

Fitness & Nutrition Specialist

Phone

(774) 379-9761

Specialties & licenses 2

Addresses

Electronic endpoints 2

Tax ID family

Club Blessed Weight Management Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• C.L.U.B Blessed Weight Management Inc.

  • Exercise & Sports Psychologist
  • Pawtucket, RI
  • NPI 1891307187
  NPD tax ID

Locations

Interoperability endpoints

• Direct secure messaging: coachstephanie@clubblessed.com

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie J Barboza

  • Addiction (Substance Use Disorder) Counselor
  • Brockton, MA
  • NPI 1225699010
  NPD Authorized official

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596499200000",
    "number": "1225648397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MOORE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071505",
            "telephone_number": "774-379-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604016",
            "telephone_number": "774-379-9761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.L.U.B BLESSED WEIGHT MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A",
        "authorized_official_last_name": "BARBOZA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "FITNESS & NUTRITION SPECIALIST",
        "authorized_official_telephone_number": "774-379-9761",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Coachstephanie@clubblessed.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Main St",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028604016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Coachstephanie@clubblessed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "250 Main St",
            "city": "Pawtucket",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028604016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hope Ellen Burns, PAC
• Nancy J Burnside, M.D.
• Aaron Burr, LCSW
• Kylie Butel-Perkins
• Peter Butler, OT
• C.L.U.B Blessed Weight Management Inc.
• C&Ctransportationllc
• Elier A. Caban Gonzalez
• Vaneza Cabral
• Saina Cadet, MSN-APRN-A-GNP-C

• Nutrition Education Nutritionist in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Nutrition Education Nutritionist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; 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.