Organization Active NPI

Peppers Steppin Lifestyle Fitness

  • Health Service Clinic/Center
  • Wilson, NC
National Provider Identifier
1659004554
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
PEPPERS STEPPIN LIFESTYLE FITNESS
Practice address
2519 Airport Blvd NW Ste a
Wilson, NC 27896-9603
Phone
(252) 360-4941
NPI assigned
Jul 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Kyaun Tyrell PeppersNPI 1639870678
Title
Certified Personal Trainer
Phone
(252) 292-4559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

2519 Airport Blvd NW Ste a
Wilson, NC 27896-9603

Mailing address

2519 Airport Blvd NW Ste a
Wilson, NC 27896-9603
Phone (252) 292-4559

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address p.s.l.fitness22@gmal.com

National Provider Directory

National Provider Directory

Locations

2519 Airport Blvd NW
Ste A
Wilson, NC 27896
Phone (252) 360-4941

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1659004554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 AIRPORT BLVD NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969603",
            "telephone_number": "252-292-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 AIRPORT BLVD NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278969603",
            "telephone_number": "252-360-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPERS STEPPIN LIFESTYLE FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2023-03-16",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "PEPPERS",
        "authorized_official_first_name": "KYAUN",
        "authorized_official_middle_name": "TYRELL",
        "authorized_official_title_or_position": "CERTIFIED PERSONAL TRAINER",
        "authorized_official_telephone_number": "252-292-4559"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "p.s.l.fitness22@gmal.com",
            "affiliation": "N",
            "address_1": "2519 Airport Blvd NW Ste A",
            "city": "Wilson",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278969603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.