The Refit Komplex LLC

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

THE REFIT KOMPLEX LLC

Practice address

504 9TH Ave
Seattle, WA 98104

Phone

(206) 402-5040

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Miss Kamini R Fonseca, LE, CPT, CGT,

Title

Owner

Phone

(206) 402-5040

Specialties & licenses 1

Addresses

Other names 1

• Lifestyle Engineering, Inc. Other name

Locations

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1962717462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 1ST AVE",
            "address_2": "SUITE 714",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211345",
            "telephone_number": "206-402-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98104",
            "telephone_number": "206-402-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REFIT KOMPLEX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "KAMINI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-402-5040",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LE, CPT, CGT,"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Engineering, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.