Fit for Service Wellness

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

FIT FOR SERVICE WELLNESS

Practice address

1201 E 15TH St Ste 204
Plano, TX 75074-6238

Phone

(469) 814-0658

Fax

(972) 727-6239

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Pamela Nelson, RN

Title

President

Phone

(214) 335-1234

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Bracane Company Other name

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mnyangala L Kauga, HEATH COACH

  • Health & Wellness Coach
  • Plano, TX
  • NPI 1659945848
  NPD (past)
• Sabra Ragsdale Masters

  • High-Risk Obstetric Registered Nurse
  • Plano, TX
  • NPI 1982127791
  NPD (past)
• Clarice Nelson

  • Health Educator
  • Plano, TX
  • NPI 1235610981
  NPD (past)
• Patricia Terrell, BSW

  • Social Worker
  • Plano, TX
  • NPI 1255856688
  NPD (past)
• Angela Whitfield, MED

  • Health Educator
  • Plano, TX
  • NPI 1356046478
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1508347261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E 15TH ST STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746238",
            "telephone_number": "469-814-0658",
            "fax_number": "972-727-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E 15TH ST STE 204",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746238",
            "telephone_number": "469-814-0658",
            "fax_number": "972-727-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT FOR SERVICE WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-335-1234",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715955",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3715963",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bracane Company",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandra Clayton Fischer, PA-C
• Pamela Rae Fischer, R.T.
• Olivia Fischera
• George Fisher
• Samantha Fisk, CCC-SLP
• Fit to Move PLLC
• Camellia Carol Fituch, M.D.
• Cheyenne Fitzgerald, CCMA
• Leonard Fitzgerald, D.D.S.
• Susan Fitzgerald

• Health Educator in Plano, TX
• Providers in Plano, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.