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NPI 1114400785ActiveOrganization· Clinical Exercise Physiologist· Southfield, MI

Clinical Exercise Physiologist in Southfield, Michigan, registered in NPPES in September 2018. The authorized official on file is Camilla Nicole Nelson, M.ED, President/Foundress.

Overview

NPI1114400785
StatusActive
Entity typeOrganization
NPI issuedSep 10, 2018
Last updated in NPPESSep 10, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Clinical Exercise Physiologist Primary224Y00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years