DAREN RANDALL


Address: 625 N Jackson Ave, Springfield, MN 56087
Phone: 5077236201

DAREN RANDALL (NPI# 1518222769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518222769
Entity Type Individual
Full Name DAREN RANDALL
Credential ARNP
Practice Address 625 N Jackson Ave
Springfield
MN 56087
Mailing Address 625 N Jackson Ave
Springfield
MN 56087-1714
Practice Telephone 5077236201
Mailing Telephone 5077236201
Enumeration Date 2012-07-12
Last Update Date 2020-06-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner CP000861 SD Physician Assistants & Advanced Practice Nursing Providers
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
A-131324 IA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
5309 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 Oak St, Sheldon, IA 512011242 7123245356

Office Location

Street Address 625 N JACKSON AVE
City SPRINGFIELD
State MN
Zip Code 56087

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619945052 Mayo Clinic Health System-southwest Minnesota Region General Acute Care Hospital 625 N Jackson Ave, Springfield, MN 56087-1714 2006-03-10
1932717485 Joshua Hoffmann Nurse Practitioner 625 N Jackson Ave, Springfield, MN 56087-1714 2020-07-21
1639702988 Cliff Heglund Physical Therapy Assistant 625 N Jackson Ave, Springfield, MN 56087-1714 2020-02-14
1821620790 Sharon Lynn Meyer Occupational Therapist 625 N Jackson Ave, Springfield, MN 56087-1714 2020-02-10
1801428081 Karole Lieb Occupational Therapist 625 N Jackson Ave, Springfield, MN 56087-1714 2020-02-06
1518505254 Allina Health System Family Medicine 625 N Jackson Ave, Springfield, MN 56087-1714 2019-12-12
1861903650 Melissa Sue Wegscheid Occupational Therapist 625 N Jackson Ave, Springfield, MN 56087-1714 2017-10-19
1821507500 Christina Marie Vogel Nurse Practitioner 625 N Jackson Ave, Springfield, MN 56087-1714 2017-09-25
1972030740 Mayo Clinic Health System-southwest Minnesota Region Clinic/Center 625 N Jackson Ave, Springfield, MN 56087-1714 2017-05-11
1871997098 Kristina Dittrich Pharmacist 625 N Jackson Ave, Springfield, MN 56087-1714 2014-10-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760824874 Kristina Rae Carlson Nurse Practitioner 625 N. Jackson Avenue, Springfield, MN 56087 2013-07-18
1013027986 Robert R Belling Jr. Dentist 602 N Jackson St, Springfield, MN 56087 2006-08-30
1043288269 Thomas James Davis Surgery 404 W Central St, Springfield, MN 56087 2006-03-14
1083769095 Pbr Optometrists Ltd of Springfield Optometrist 602 North Jackson Ave, Springfield, MN 56087-0186 2007-01-23
1376180109 Drs. Akre & Clark, Ltd. Optometrist 623 W Rock St, Springfield, MN 56087-1028 2019-11-27
1346318110 Ind School Dist 85 Local Education Agency (LEA) 12 Burns Ave, Springfield, MN 56087-1202 2006-12-01
1124649702 Bridget Fenger Specialist/Technologist 521 W Central St, Springfield, MN 56087-1213 2020-05-05
1043279243 Bradley Jay Haugo Chiropractor 10 N O Connell Ave, Springfield, MN 56087-1308 2006-03-17
1316009681 Dr Brad Haugo Dc Chtd Chiropractor 10 N O Connell Ave, Springfield, MN 56087-1308 2006-12-14
1528436607 Superior Mobility LLC Non-emergency Medical Transport (VAN) 21 N Cass Ave, Springfield, MN 56087-1501 2015-09-08
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1255951331 Bryndi Raye Shirley Nurse Practitioner 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 2020-04-20
1750900379 Gemma Nicole D'angelo Nurse Practitioner 996 Stoneybrook Dr, Springfield, PA 19064-3829 2020-04-14
1629607882 Melanie Herrin Nurse Practitioner 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 2020-04-08
1871133520 Deborah Ann Tully Nurse Practitioner 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 2020-01-10
1932759651 Amanda Couchon Nurse Practitioner 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 2019-09-14
1760947410 Andrea K Leger Nurse Practitioner 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 2019-02-07
1417421579 Stephanie M Yeager Nurse Practitioner 3850 S National Ave Ste 700, Springfield, MO 65807-5292 2019-01-11
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
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Competitor

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City SPRINGFIELD
Zip Code 56087

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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