Richard Chamberlin

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

419 Eastern Ave
Saint Cloud, FL 34769-3037

Phone

(321) 624-0354

NPI assigned

Jul 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1114570744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 EASTERN AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693037",
            "telephone_number": "321-624-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 EASTERN AVE",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347693037",
            "telephone_number": "321-624-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLIN",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@amtaichifitness.com",
            "affiliation": "N",
            "address_1": "419 Eastern Ave",
            "city": "Saint Cloud",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347693037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crystal M Ceri, RCS
• Valerie Cervantes, BS
• Dayana Cevertus
• Nancy Chabrier
• Angely Vanessa Chacon
• Ashleigh Lauren Chambers, ARNP
• Olga Esther Chamorro
• Jared William Chantrill, LCSW
• Brownly Charles
• Marilyn Chavannes, M.D.

• Athletic Trainer in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.