Active NPI
Angela Michelle Branson
- Clinical Exercise Physiologist
- Durham, NC
National Provider Identifier
1619251154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 1821 Hillandale Rd Ste 25B
Durham, NC 27705-2671 - Phone
- (919) 613-9105
- NPI assigned
- Oct 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1821 Hillandale Rd Ste 25B
Durham, NC 27705-2671
Mailing address
3643 N Roxboro St
Wellness Institute
Durham, NC 27704-2702
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1619251154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 N ROXBORO ST",
"address_2": "WELLNESS INSTITUTE",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 HILLANDALE RD STE 25B",
"city": "DURHAM",
"state": "NC",
"postal_code": "277052671",
"telephone_number": "919-613-9105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSON",
"first_name": "ANGELA MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-03",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.