Organization Active NPI

Medical Fitness Solutions, PA

  • Nurse Practitioner
  • Lumberton, TX
National Provider Identifier
1700134392
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MEDICAL FITNESS SOLUTIONS, PA
Practice address
1027 N Main St
Lumberton, TX 77657-7362
Phone
(409) 751-0100
Fax
(409) 751-0700
NPI assigned
Aug 29, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Connie GrassNPI 1225018948
Title
Manager
Phone
(409) 751-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

1027 N Main St
Lumberton, TX 77657-7362

Mailing address

1027 N Main St
Lumberton, TX 77657-7362
Phone (409) 751-0100

National Provider Directory

National Provider Directory

Locations

1027 N Main St
Lumberton, TX 77657
Phone (409) 751-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1700134392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 N MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577362",
            "telephone_number": "409-751-0100",
            "fax_number": "409-751-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 N MAIN ST",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577362",
            "telephone_number": "409-751-0100",
            "fax_number": "409-751-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL FITNESS SOLUTIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GRASS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "409-751-0100"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.