Fitness for Life Personal Training Studio

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN088069 Issued in LA

Legal business name

FITNESS FOR LIFE PERSONAL TRAINING STUDIO

Practice address

1232 Saint Charles St
Houma, LA 70360-2745

Phone

(985) 876-8172

Fax

(985) 876-8173

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Jon Hill, RN

Title

Wellness Coordinator/VP Operations

Phone

(985) 876-8172

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1265754246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 SAINT CHARLES ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602745",
            "telephone_number": "985-876-8172",
            "fax_number": "985-876-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SAINT CHARLES ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602745",
            "telephone_number": "985-876-8172",
            "fax_number": "985-876-8173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS FOR LIFE PERSONAL TRAINING STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "WELLNESS COORDINATOR/VP OPERATIONS",
        "authorized_official_telephone_number": "985-876-8172",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN088069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette H Fields, CAC
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• Ty Shamika Fleming
• Eleisa Nguyen Floyd, FNP-C

• Registered Nurse in Houma, LA
• Providers in Houma, LA by specialty
• Registered Nurse in Louisiana

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