Wow Fitness

Primary specialty

Health EducatorTaxonomy code 174H00000X

License

NETA Issued in AR

Legal business name

WOW FITNESS

Practice address

5523 Mabelvale Pike
Little Rock, AR 72209-1823

Phone

(501) 240-2773

NPI assigned

Dec 13, 2011

Last updated

Dec 13, 2011By 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

Kameelah Wesley

Title

Executive Director

Phone

(501) 240-2773

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1871861294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 MABELVALE PIKE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722091823",
            "telephone_number": "501-240-2773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 MABELVALE PIKE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722091823",
            "telephone_number": "501-240-2773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOW FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WESLEY",
        "authorized_official_first_name": "KAMEELAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "501-240-2773"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AR",
            "license": "NETA",
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "AR",
            "license": "NETA",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AR",
            "license": "NETA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Worsham
• Dustin Worthen, DC
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• Wound Integrity Arkansas PA
• WP Malone Inc (Allcare Pharmacy)
• Sydney Wray, M.S., CCC-SLP
• Haylee Mae Wren, MS, RDN
• Wright Care 111 LLC
• Charles David Wright Jr, LMSW

• Health Educator in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Health Educator in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.