Active NPI
Richard Malcolm Storie II, EDD, ACSM-EP
- Clinical Exercise Physiologist
- Murfreesboro, TN
National Provider Identifier
1679213201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 9570 Mount Ayre Way
Murfreesboro, TN 37129-7808 - Phone
- (615) 478-1102
- NPI assigned
- Mar 31, 2022
- Sex
- Male
- 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
9570 Mount Ayre Way
Murfreesboro, TN 37129-7808
Mailing address
9570 Mount Ayre Way
Murfreesboro, TN 37129-7808
Phone (615) 478-1102
Other practice location 1
1 Cumberland Sq
Lebanon, TN 37087-3408
Phone (615) 453-6356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043080 | Other | TN | ACSM |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.cumberland.edu | Other |
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": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1679213201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9570 MOUNT AYRE WAY",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371297808",
"telephone_number": "615-478-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9570 MOUNT AYRE WAY",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371297808",
"telephone_number": "615-478-1102"
}
],
"practiceLocations": [
{
"address_1": "1 Cumberland Sq",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "TN",
"postal_code": "370873408",
"country_code": "US",
"telephone_number": "615-453-6356",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STORIE",
"first_name": "RICHARD",
"middle_name": "MALCOLM",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "EDD, ACSM-EP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACSM",
"identifier": "1043080",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.cumberland.edu",
"affiliation": "N",
"endpointDescription": "Secondary Practice",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Bio",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "PDF",
"address_1": "9570 Mount Ayre Way",
"city": "Murfreesboro",
"state": "TN",
"country_code": "US",
"postal_code": "371297808",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.