Active NPI
Michael Richards
- Clinical Exercise Physiologist
- Watford City, ND
National Provider Identifier
1154069169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 1063562
- Practice address
- 706 Hunters Run St Apt 108
Watford City, ND 58854-3379 - Phone
- (440) 541-3030
- NPI assigned
- May 20, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | 1063562 | Primary |
Addresses
Primary practice location
706 Hunters Run St Apt 108
Watford City, ND 58854-3379
Mailing address
706 Hunters Run St Apt 108
Watford City, ND 58854-3379
Phone (440) 541-3030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653004800000",
"number": "1154069169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 HUNTERS RUN ST APT 108",
"city": "WATFORD CITY",
"state": "ND",
"postal_code": "588543379",
"telephone_number": "440-541-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 HUNTERS RUN ST APT 108",
"city": "WATFORD CITY",
"state": "ND",
"postal_code": "588543379",
"telephone_number": "440-541-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-20",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": "1063562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watford City, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.