RANDI LEIGH PARK (NPI# 1437613551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437613551 |
| Entity Type | Individual |
| Full Name | RANDI LEIGH PARK |
| Practice Address |
2912 Oak Lake Blvd Midlothian VA 23112-3998 |
| Mailing Address |
2306 Krossridge Ct North Chesterfield VA 23236-5215 |
| Practice Telephone | 8045856723 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | VA | Other Service Providers | |
| Y | 224Y00000X | Clinical Exercise Physiologist | 807155 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2912 OAK LAKE BLVD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-3998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043774268 | Stephanie Ramsey Roth | Clinical Exercise Physiologist | 2912 Oak Lake Blvd, Midlothian, VA 23112-3998 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043774268 | Stephanie Ramsey Roth | Clinical Exercise Physiologist | 2912 Oak Lake Blvd, Midlothian, VA 23112-3998 | 2019-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940698 | Kimberly Renee Johnson | Clinical Exercise Physiologist | 5645 Danvers Rd, Portsmouth, VA 23703-3730 | 2020-07-30 |
| 1609436575 | Brent Nahmen Hofmann | Clinical Exercise Physiologist | 3509 Festival Park Plz, Chester, VA 23831-4449 | 2019-06-13 |
| 1992203574 | Deborah K. Inaba | Clinical Exercise Physiologist | 1410 S Braddock St, Winchester, VA 22601 | 2018-01-29 |
| 1467725044 | Brandon Briggs | Clinical Exercise Physiologist | 47 Valley View Cir, Roanoke, VA 24019-8023 | 2012-02-14 |
| 1164062063 | Richard Carson Fralin | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2020-01-09 |
| 1821638628 | Katherine Brady Peterman | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2020-01-09 |
| 1528608320 | Heather A Monger | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2020-01-09 |
| 1215577093 | Ashley M Dorst | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2020-01-09 |
| 1679111900 | James Morris Jones II | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2019-12-17 |
| 1407310337 | Shanita Leanna Jefferson | Clinical Exercise Physiologist | 3600 W Broad St, Richmond, VA 23230-4915 | 2019-01-24 |
| Find all providers with the same taxonomy | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.