Active NPI
Niki Michele Johnson, EP
- Clinical Exercise Physiologist
- Richmond, VA
National Provider Identifier
1285376566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 6627 W Broad St
Richmond, VA 23230-1732 - Phone
- (804) 340-7142
- Fax
- (804) 723-3293
- NPI assigned
- Apr 8, 2022
- Last updated
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 | NU | Primary |
Addresses
Primary practice location
6627 W Broad St
Richmond, VA 23230-1732
Mailing address
13621 Glendower Rd
Midlothian, VA 23113-3876
Phone (703) 220-7462
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab JV LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1285376566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13621 GLENDOWER RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231133876",
"telephone_number": "703-220-7462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232301732",
"telephone_number": "804-340-7142",
"fax_number": "804-723-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "NIKI",
"middle_name": "MICHELE",
"credential": "EP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.