Richard Peebles III

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

4243 Llewellyn Ave Apt 203
Norfolk, VA 23504-1133

Phone

(804) 426-1113

NPI assigned

May 30, 2025

Last updated

May 30, 2025By the provider in NPPES

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

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": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1326931189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 MOSS GATE TER",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232271672",
            "telephone_number": "804-426-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 LLEWELLYN AVE APT 203",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235041133",
            "telephone_number": "804-426-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEBLES",
        "first_name": "RICHARD",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonae Demetra Pedersen
• Michael Pedersen, DPT
• Pediatric Services of America, LLC (Aveanna Healthcare)
• Beata Pedlowska
• Pedro D Hasas, MD, PLC
• Sarah Peebles
• Shannon Rae Peele, LCSW
• Brianna Noelle Peeples, DDS
• Pegram & Cornetta P L C (Ghent Eye Care)
• Linda D Pegram, M.D.

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.