Organization Active NPI

Jimmy Keys Fitness and Wellness, LLC

  • Nutritionist
  • Saint Louis, MO
National Provider Identifier
1497138150
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
Legal business name
JIMMY KEYS FITNESS AND WELLNESS, LLC
Practice address
9800 Calumet Dr
Saint Louis, MO 63137-3307
Phone
(314) 303-4459
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
James Keeton, PLPC
Title
Owner/Ceo
Phone
(314) 303-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X Primary

Addresses

Primary practice location

9800 Calumet Dr
Saint Louis, MO 63137-3307

Mailing address

9800 Calumet Dr
Saint Louis, MO 63137-3307
Phone (314) 303-4459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1497138150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 CALUMET DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631373307",
            "telephone_number": "314-303-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 CALUMET DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631373307",
            "telephone_number": "314-303-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIMMY KEYS FITNESS AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "314-303-4459",
        "authorized_official_credential": "PLPC"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.