Fitness Explosion Elite Training

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

FITNESS EXPLOSION ELITE TRAINING

Practice address

322 Parker St Ste a
Vacaville, CA 95688-4564

Phone

(707) 474-9407

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Dulon Stevens

Title

Owner

Phone

(707) 624-0296

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1891411906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 TROON CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956877728",
            "telephone_number": "707-624-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 PARKER ST STE A",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884564",
            "telephone_number": "707-474-9407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITNESS EXPLOSION ELITE TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "DULON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-624-0296"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First-Gen Therapy, Licensed Clinical Social Worker, Prof. Corp
• Firstsight Vision Services,Inc.
• Ayana Alese Fisher-Bray
• Patrick Fisher, MD
• Michael Farnham Fiske, D.C.
• Anna Marie Fleshman
• Nadia Fletcher, CMT
• Christina Flores
• Erika Perlita Flores, AU.D.
• Gloria Flores, LCSW

• Health & Wellness Coach in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Health & Wellness Coach in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.