Sheila's Fitness Jam, LLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

550748 Issued in NY

Legal business name

SHEILA'S FITNESS JAM, LLC

Practice address

8965 Sheridan Dr
Clarence, NY 14031-1419

Phone

(716) 633-1833

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Sheila M Samson Powers, ACSM CERTIFIED

Title

Owner/Trainer

Phone

(716) 633-1833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1578832465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 HARRIS HILL RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142217407",
            "telephone_number": "716-633-1833",
            "fax_number": "716-633-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8965 SHERIDAN DR",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311419",
            "telephone_number": "716-633-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEILA'S FITNESS JAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "SAMSON POWERS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/TRAINER",
        "authorized_official_telephone_number": "716-633-1833",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ACSM CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": "NY",
            "license": "550748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D Schaus, DDS
• Kevin Matthew Scibetta, DPT
• Benjamin Segerson, DO
• Christina M Sharples, RN
• Jacqueline Sheehan
• Jennifer J Sinclair, SLP
• Colleen Siskar, LCAT, ATR-BC
• Andrew Skomra, MD
• Cheryl Smith, PHARM.D.
• Felicia Spence, RDN

• Health Educator in Clarence, NY
• Providers in Clarence, NY by specialty
• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.