Individual provider Active NPI

Brandi S Rariden, EP

  • Clinical Exercise Physiologist
  • Leonardtown, MD
National Provider Identifier
1154135085
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
776820 Issued in FL
Practice address
23507 Hollywood Rd Ste 2
Leonardtown, MD 20650-5928
Phone
(240) 434-4070
NPI assigned
Feb 3, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X 776820 FL Primary

Addresses

Primary practice location

23507 Hollywood Rd Ste 2
Leonardtown, MD 20650-5928

Mailing address

43968 Swift Fox Dr
California, MD 20619-7124

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

State licenses

LicenseStateTypeSpecialty
776820FLMDClinical Exercise Physiologist

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1154135085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43968 SWIFT FOX DR",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206197124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23507 HOLLYWOOD RD STE 2",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206505928",
            "telephone_number": "240-434-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RARIDEN",
        "first_name": "BRANDI",
        "middle_name": "S",
        "credential": "EP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "FL",
            "license": "776820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leonardtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.