Fit 4 Life Integrated Health Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N-29222 Issued in ID

Legal business name

FIT 4 LIFE INTEGRATED HEALTH CLINIC

Doing business as

Fit 4 Life

Practice address

2086 E 25TH St
Idaho Falls, ID 83404-6490

Phone

(208) 391-3484

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Monika Jarzmik, FNP

Title

Manager

Phone

(208) 391-3484

Specialties & licenses 1

Addresses

Other names 1

• Fit 4 Life Doing business as

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1891192555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-391-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 E 25TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046490",
            "telephone_number": "208-391-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIT 4 LIFE INTEGRATED HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "JARZMIK",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "208-391-3484",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "N-29222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit 4 Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeremy Ethan Firstenberg, OTR/L
• Fischer Medical Equipment Inc
• Amy Elizabeth Fisher, MS, CCC-SLP
• Katie Fisher, MOTR/L
• Fit 4 Life Chiropractic LLC
• Fitness Forward Physical Therapy PLLC
• Craig Alan Fleming, O.D.
• Angela M Fletcher, LCPC
• Jalynne Fletcher, LPC
• Flint R Packer DO PC

• Family Medicine Physician in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.