DAREN RANDALL (NPI# 1518222769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| 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 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Oak St, Sheldon, IA 512011242 | 7123245356 |
| Street Address |
625 N JACKSON AVE |
| City | SPRINGFIELD |
| State | MN |
| Zip Code | 56087 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 56087 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
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| 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 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 56087 |
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| 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.