Organization Active NPI

Luminosity Headquarters

Doing business as Cognitive Fitness Studio

  • Corporate Health Clinic/Center
  • Farmington, NM
National Provider Identifier
1871101162
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
LUMINOSITY HEADQUARTERS
Doing business as
Cognitive Fitness Studio
Practice address
108 N Behrend Ave Ste E
Farmington, NM 87401-8418
Phone
(620) 391-8120
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Mr. Lonnie Whitaker
Title
Business Owner
Phone
(620) 391-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

108 N Behrend Ave Ste E
Farmington, NM 87401-8418

Mailing address

108 N Behrend Ave Ste E
Farmington, NM 87401-8418
Phone (620) 391-8120

Other names 1

  • Cognitive Fitness Studio Doing business as

National Provider Directory

National Provider Directory

Locations

1530 N Western Ave
Liberal, KS 67901

108 N Behrend Ave
Ste E
Farmington, NM 87401
Phone (620) 391-8120

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1871101162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N BEHREND AVE STE E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018418",
            "telephone_number": "620-391-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N BEHREND AVE STE E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018418",
            "telephone_number": "620-391-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINOSITY HEADQUARTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "620-391-8120",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Fitness Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.