Active NPI
Peppers Steppin Lifestyle Fitness
- Health Service Clinic/Center
- Wilson, NC
National Provider Identifier
1659004554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kyaun Tyrell Peppers
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | p.s.l.fitness22@gmal.com |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Nutritionist
- Wilson, NC
- NPI 1639870678
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.