Randi Leigh Park

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

807155 Issued in IN

Practice address

2912 Oak Lake Blvd
Midlothian, VA 23112-3998

Phone

(804) 585-6723

NPI assigned

Jan 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1437613551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 KROSSRIDGE CT",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232365215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 OAK LAKE BLVD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123998",
            "telephone_number": "804-585-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "RANDI",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "IN",
            "license": "807155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unni Ligin Ligin Papachan
• Richard Papcun
• Shannon Colleen Pardo
• Pari Respiratory Equipment
• Mimi E Park, DDS
• Adam Paul Parker, O.D.
• Dorothy Parker, NP
• Megan S Parker, OD
• Alexis Parrott, PTA
• Jacob Thomas Parten, MPT

• Clinical Exercise Physiologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Exercise Physiologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.