CS Innovative Fitness

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

CS INNOVATIVE FITNESS

Practice address

3024 Texas Ave South
College Station, TX 77845

Phone

(979) 595-3080

NPI assigned

Oct 15, 2014

Last updated

Oct 15, 2014By 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. Trevor James Carney, M.S.

Title

Owner

Phone

(979) 595-3080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1730583030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 TEXAS AVE SOUTH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-595-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 TEXAS AVE SOUTH",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-595-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CS INNOVATIVE FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "CARNEY",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-595-3080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Crumbaker, M.D.
• Kelley Champ Crumpler, LVN
• Priscilla Cruz
• Crystal Bigley LPC PLLC
• Crystal Vision Center PC
• Susan Cua
• Megan Elise Cullers, FNP-BC
• Cultivate Pelvic Floor Therapy
• James Michael Cunningham, DMD
• Matthew Barret Curnutte, M.D.

• Point of Service in College Station, TX
• Providers in College Station, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.