MR. RANDALL LEE WRIGHT (NPI# 1679606131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679606131 |
| Entity Type | Individual |
| Full Name | MR. RANDALL LEE WRIGHT |
| Credential | LAT,ATC |
| Practice Address |
3000 Chrysler Dr Belvidere IL 61008-6006 |
| Mailing Address |
10009 Sara Dr Roscoe IL 61073-8598 |
| Practice Telephone | 8155472440 |
| Practice Fax Number | 8155472458 |
| Mailing Telephone | 8156239024 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
| 1902903438 | Randall A Wright | Surgery | 3537 S Interstate 35 E Ste 200, Denton, TX 76210 | 2006-09-19 |
| 1740792894 | Randall Gene Wright | Social Worker | 1197 E James St, White Cloud, MI 49349-9187 | 2017-10-30 |
| 1215157789 | Randall E Wright | Pharmacist | 425 7th St Nw, Cass Lake, MN 56633-3360 | 2007-04-26 |
| 1649331851 | Randall Wright | Counselor | 2025 E Dakota Ave, Fresno, CA 93726-4804 | 2006-12-12 |
| 1184708877 | Randall I Wright | Dentist | 1001 Mountain St, Suite 3g Ross Building, Carson City, NV 89703-3822 | 2006-10-25 |
| 1316035058 | Randall John Wright | Psychiatry & Neurology | 6560 Fannin St Ste 802, Houston, TX 77030 | 2006-10-10 |
| Street Address |
3000 CHRYSLER DR |
| City | BELVIDERE |
| State | IL |
| Zip Code | 61008-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902322944 | Lynsie Merry | Speech-Language Pathologist | 919 E. Sixth St., Belvidere, IL 61008 | 2017-08-22 |
| 1023379773 | Dylen Adair Larsen | Technician/Technologist | 521 South Street, Suite 1, Belvidere, IL 61008 | 2012-05-30 |
| 1376665224 | Ultrasound of Belvidere LLC | Radiologic Technologist | 1006 Logan Avenue, Belvidere, IL 61008 | 2007-04-04 |
| 1992845093 | Vicki Marie Harrison | Chiropractor | 301 North State Street, Belvidere, IL 61008 | 2007-02-07 |
| 1316007859 | Drs Drake Ltd | Dentist | 515 Pearl Street, Belvidere, IL 61008 | 2006-12-12 |
| 1194898015 | Family Optical Centre Inc | Optometrist | 304 No State St, Belvidere, IL 61008 | 2006-11-16 |
| 1457373946 | Mary Simmons | Family Medicine | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2006-07-24 |
| 1134172166 | Gabriel John Javurek | Chiropractor | 1800 Logan Ave, Belvidere, IL 61008 | 2006-05-19 |
| 1437642535 | Bailey A Bolwerk | Physical Therapist | 1731 Henry Luckow Ln, Belvidere, IL 61008 | 2018-06-13 |
| 1184079451 | Amanda L Ritter | Nurse Practitioner | 1700 Henry Luckow Ln, Belvidere, IL 61008 | 2016-04-25 |
| Find all providers in zip 61008 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437781457 | Kayli A Yeisley | Specialist/Technologist | 607 3rd St, Belvidere, NJ 07823-1837 | 2020-02-07 |
| 1295384196 | Tara Diane Cates | Specialist/Technologist | 1496 Baxter Hollow Rd, Belvidere, TN 37306-2309 | 2019-09-04 |
| 1679038723 | Megyn Leigh Berezny | Specialist/Technologist | 630 Water St, Belvidere, NJ 07823-1312 | 2019-02-04 |
| 1851856173 | Timothy James Koehler | Specialist/Technologist | 921 Prospect St, Belvidere, IL 61008-4570 | 2019-02-01 |
| 1265996011 | Tanna Coss | Specialist/Technologist | 1427 East Ave, Belvidere, IL 61008-4560 | 2019-01-25 |
| 1821509167 | Joshua Perez | Specialist/Technologist | 709 Bluff Ct, Belvidere, IL 61008-7835 | 2017-10-13 |
| 1841593290 | David R Love | Specialist/Technologist | 9393 Beloit Rd, Belvidere, IL 61008-9735 | 2010-12-07 |
| 1457482747 | Noel Daniette Kupczyk Priest | Specialist/Technologist | 2038 Derby Ln, Belvidere, IL 61008-9121 | 2007-03-08 |
| 1396870341 | Duane Michael Morgan | Specialist/Technologist | 809 Oxford St, Belvidere, NJ 07823-1701 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
| Find all providers with the same taxonomy | ||||
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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.