Leroy J Nickie

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

7018 Wade Ave
Clinton, MD 20735-2741

Phone

(301) 877-7085

NPI assigned

Jul 25, 2011

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": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1598043507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 WADE AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352741",
            "telephone_number": "301-877-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 WADE AVE",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352741",
            "telephone_number": "301-877-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKIE",
        "first_name": "LEROY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phi D Nguyen
• Thao Nguyen, DPT
• Tram Ngoc Nguyen, D.D.S.
• Arlene Pearl Nichols, M.D.
• Shakia Amani Nicholson, NP
• Kudi S Njembu
• Sylvia Nkenfac
• Melissa North, FNP-BC
• Northrium Diagnostics
• Northrium Health LLC

• Clinical Exercise Physiologist in Clinton, MD
• Providers in Clinton, MD by specialty
• Clinical Exercise Physiologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.