B Fit Preventive Care Clinic

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

B FIT PREVENTIVE CARE CLINIC

Doing business as

The B. Fit Clinic

Practice address

1715 Pacific Ave N
Suite B
Long Beach, WA 98631-3604

Phone

(360) 642-7246

Fax

(360) 642-3006

NPI assigned

Jan 6, 2012

Last updated

Sep 26, 2012By 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

Mr. David Allen Boley II, ARNPNPI 1750602132

Title

Owner/Nurse Practitioner

Phone

(360) 642-7246

Specialties & licenses 1

Addresses

Other names 1

• The B. Fit Clinic Doing business as

Locations

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.

• David Boley

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1750602132
  NPD Authorized official

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1669742714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1447",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986311447",
            "telephone_number": "360-642-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 PACIFIC AVE N",
            "address_2": "SUITE B",
            "city": "LONG BEACH",
            "state": "WA",
            "postal_code": "986313604",
            "telephone_number": "360-642-7246",
            "fax_number": "360-642-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B FIT PREVENTIVE CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "BOLEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-642-7246",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The B. Fit Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane L Adams
• Sonja Alsofi, M.A.
• Jonathan Amos
• George Auttelet, D.C.
• Jessica Caitlin Bailey, LCSW
• Brooke Baker, LPN
• Daniel Baker
• Susan Elizabeth Baker
• Kate Elizabeth Bannister, MA CCC SLP

• Pain Clinic/Center in Long Beach, WA
• Providers in Long Beach, WA by specialty
• Pain Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.