Fearfully and Beautifully Made Fitness, LLC.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FEARFULLY AND BEAUTIFULLY MADE FITNESS, LLC.

Practice address

100 Cambridge St FL 14
Boston, MA 02114-2509

Phone

(646) 941-7645

NPI assigned

Sep 3, 2025

Last updated

Sep 3, 2025By 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

Timarra Warren, DNP, PMHNP-BCNPI 1265164008

Title

Clinical Director

Phone

(646) 941-7645

Specialties & licenses 1

Addresses

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.

• Timarra Marie Warren, PMHNP-DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boston, MA
  • NPI 1265164008
  NPD Authorized official

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1548140569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 UPCHURCH RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMBRIDGE ST FL 14",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142509",
            "telephone_number": "646-941-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEARFULLY AND BEAUTIFULLY MADE FITNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "TIMARRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "646-941-7645",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bushra Fazilat
• Suely Fazio Ferraciolli, MD, PHD
• Rosalie Fazio-Eynullayeva
• Sara B Fazio, M.D.
• Mel B Feany, MD PHD
• Daniela Alejandra Febres-Cordero, MD
• John J Fedak Jr.
• Lauren Elizabeth Fedak, NP
• Rachel Theresa Feddor
• Henry Fede

• Mental Health Clinic/Center (Including Community Mental Health Center) in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.