Totally Fit 4 Life PLLC

Primary specialty

Obesity Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084B0002X

License

128967 Issued in NC

Legal business name

TOTALLY FIT 4 LIFE PLLC

Practice address

7476 Waterside Loop Rd
Suite 600
Denver, NC 28037-7679

Phone

(704) 822-5433

NPI assigned

Sep 17, 2008

Last updated

Sep 17, 2008By 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

Ms. Debra Diane Powell, PA

Title

President

Phone

(704) 822-5433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1548419237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377679",
            "telephone_number": "704-822-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7476 WATERSIDE LOOP RD",
            "address_2": "SUITE 600",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377679",
            "telephone_number": "704-822-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTALLY FIT 4 LIFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-822-5433",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084B0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "NC",
            "license": "128967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Obesity Medicine (Psychiatry & Neurology) Physician in Denver, NC
• Providers in Denver, NC by specialty
• Obesity Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.