Individual provider Active NPI

Catherine Goforth-Dent, ACSM-CEP

  • Clinical Exercise Physiologist
  • Portsmouth, VA
National Provider Identifier
1629831151
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
License
919938
Practice address
3640 High St Ste 2D
Portsmouth, VA 23707-3213
Phone
(325) 280-2013
Fax
(757) 398-9281
NPI assigned
Feb 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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 919938 Primary

Addresses

Primary practice location

3640 High St Ste 2D
Portsmouth, VA 23707-3213

Mailing address

3640 High St Ste 2D
Portsmouth, VA 23707-3213
Phone (325) 280-2013

Other identifiers 1

IdentifierTypeStateIssuer
919938OtherAMERICAN COLLEGE OF SPORTS MEDICINE

Other names 1

  • Miss Catherine Swedlund Former name

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": "1707177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1629831151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "325-280-2013",
            "fax_number": "757-398-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HIGH ST STE 2D",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073213",
            "telephone_number": "325-280-2013",
            "fax_number": "757-398-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOFORTH-DENT",
        "first_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "ACSM-CEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": "919938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN COLLEGE OF SPORTS MEDICINE",
            "identifier": "919938",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "SWEDLUND",
            "prefix": "MISS",
            "credential": "ACSM-CEP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.