Organization Active NPI

Stretchmed Tucson

  • Health & Wellness Coach
  • Tucson, AZ
National Provider Identifier
1396510434
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
STRETCHMED TUCSON
Practice address
64 E Broadway Blvd
Tucson, AZ 85701-1720
Phone
(520) 444-6973
NPI assigned
Nov 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Jennica Klemann
Title
Owner
Phone
(520) 850-8151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

64 E Broadway Blvd
Tucson, AZ 85701-1720

Mailing address

64 E Broadway Blvd
Tucson, AZ 85701-1720

National Provider Directory

National Provider Directory

Locations

64 E Broadway Blvd
Tucson, AZ 85701
Phone (520) 261-1467

NPI Registry JSON

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1396510434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857011720",
            "telephone_number": "520-444-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCHMED TUCSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-18",
        "status": "A",
        "authorized_official_last_name": "KLEMANN",
        "authorized_official_first_name": "JENNICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-850-8151"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.