=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003602566
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TOSHA BELL NASM-CPT, NASM-WFS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2025
-----------------------------------------------------
Last Update Date | 04/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2304 BARDIN RD STE 200
-----------------------------------------------------
City | GRAND PRAIRIE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75052-3853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-892-7454
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3320 KIMBERLY LN
-----------------------------------------------------
City | GRAND PRAIRIE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75052-7041
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-892-7454
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174H00000X
-----------------------------------------------------
Taxonomy Name | Health Educator
-----------------------------------------------------
License Number | 1241235324
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------