Individual provider Active NPI

Adina E Critcher, MS, ACSM-CEP, CCRP

  • Clinical Exercise Physiologist
  • Wilmington, NC
National Provider Identifier
1417736059
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
4005 Watercraft Ferry Ave Unit 206
Wilmington, NC 28412-6270
Phone
(828) 964-0428
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 Primary

Addresses

Primary practice location

4005 Watercraft Ferry Ave Unit 206
Wilmington, NC 28412-6270

Mailing address

4005 Watercraft Ferry Ave Unit 206
Wilmington, NC 28412-6270
Phone (828) 964-0428

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1417736059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 WATERCRAFT FERRY AVE UNIT 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126270",
            "telephone_number": "828-964-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 WATERCRAFT FERRY AVE UNIT 206",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284126270",
            "telephone_number": "828-964-0428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHER",
        "first_name": "ADINA",
        "middle_name": "E",
        "credential": "MS, ACSM-CEP, CCRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.