Active NPI
Lisette Bedford, RCEP
- Clinical Exercise Physiologist
- Denver, NC
National Provider Identifier
1699441493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- License
- 671227
- Practice address
- 8072 Blades TRL
Denver, NC 28037-9151 - Phone
- (425) 238-3646
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 671227 | NC | Primary |
Addresses
Primary practice location
8072 Blades TRL
Denver, NC 28037-9151
Mailing address
8072 Blades TRL
Denver, NC 28037-9151
Phone (425) 238-3646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 671227 | Other | NC | ACSM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 671227 | NC | MD | Clinical Exercise Physiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1699441493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8072 BLADES TRL",
"city": "DENVER",
"state": "NC",
"postal_code": "280379151",
"telephone_number": "425-238-3646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8072 BLADES TRL",
"city": "DENVER",
"state": "NC",
"postal_code": "280379151",
"telephone_number": "425-238-3646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "LISETTE",
"credential": "RCEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": "NC",
"license": "671227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACSM",
"identifier": "671227",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.