Jerica Nitz, MS, ACSM-RCEP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

209 9TH St
Rockford, IL 61104-2235

Phone

(779) 696-5863

NPI assigned

Jun 16, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1861122244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13157 SPRINGHILL DR",
            "city": "WINNEBAGO",
            "state": "IL",
            "postal_code": "610888047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 9TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611042235",
            "telephone_number": "779-696-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NITZ",
        "first_name": "JERICA",
        "credential": "MS, ACSM-RCEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Niesen Zucchi, LCSW
• Jose L Nieves, OPTICAL
• Kumud Nigam, M.D.
• Nissi Corp
• Kenneth Richard Nissim, M.D.
• Stephen T Nitz, M.D.
• Marta Njos
• Edward Bruce Noakes III, DMD, MS
• Stephanie Nold, M.S., CCC-SLP/L
• Robert Dreier Nolting, LPC

• Clinical Exercise Physiologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Exercise Physiologist in Illinois

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

Verify at the official NPI Registry.