LARISSA RANDALL
NPI 1285163964
Case Manager/Care Coordinator in Fayetteville, AR

Q: What is Larissa Randall's NPI number?

The NPI number for Larissa Randall is 1285163964. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Q: What is Larissa Randall's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Randall was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 07, 2017

60 W SUNBRIDGE DR, FAYETTEVILLE, AR 72703(479) 695-1240(479) 750-4843 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2019, Jun 7, 2017 (2 updates tracked since 2017).

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About Larissa Randall NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARISSA RANDALL (NPI 1285163964) is an individual case manager/care coordinator provider in Fayetteville, Arkansas and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1285163964

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameLARISSA RANDALL

Location Address60 W SUNBRIDGE DRFayetteville, AR 72703-1822

Mailing Address60 W Sunbridge DrFayetteville, AR 72703-1822 · (479) 750-2020 · Fax (479) 750-4843

Phone(479) 695-1240

Fax(479) 750-4843

Sole ProprietorNo

Enumeration DateJune 7, 2017

Last NPPES UpdateFebruary 25, 20192 updates tracked since enumeration

✔ NPI 1285163964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

60 W SUNBRIDGE DR, Fayetteville, AR 72703

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AIRITY C HESINGTON LCSW

Social Worker (Clinical)