NPIMap

Organization Active NPI

Coreolate 360 Fitness

  • Health & Wellness Coach
  • North Las Vegas, NV
National Provider Identifier
1699524611
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
COREOLATE 360 FITNESS
Practice address
1931 Giant Pine Ave
North Las Vegas, NV 89031-5071
Phone
(725) 200-0821
NPI assigned
May 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Mr. Wilbur Lasane Jr., CPT, CNC, CPRNPI 1295561470
Title
Owner/ Trainer/ Instructor
Phone
(725) 200-0821

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 & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

1931 Giant Pine Ave
North Las Vegas, NV 89031-5071

Mailing address

1931 Giant Pine Ave
North Las Vegas, NV 89031-5071
Phone (725) 200-0821

Other practice location 1

2725 S Jones Blvd Ste 108
Las Vegas, NV 89146-5605
Phone (725) 200-0821 ext. 1

Other names 1

  • COREolate 360 Fitness & CPR Training Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1699524611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 GIANT PINE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315071",
            "telephone_number": "725-200-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 GIANT PINE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890315071",
            "telephone_number": "725-200-0821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2725 S Jones Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891465605",
            "country_code": "US",
            "telephone_number": "725-200-0821 x1",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COREOLATE 360 FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LASANE",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "OWNER/ TRAINER/ INSTRUCTOR",
        "authorized_official_telephone_number": "725-200-0821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CPT, CNC, CPR"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COREolate 360 Fitness & CPR Training",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.