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KYRRAH RAE RANDOLPH ATC
NPI 1366274854
Specialist/Technologist - Athletic Trainer in Charleston, IL

Active since August 14, 2024
600 LINCOLN AVE, CHARLESTON, IL 61920(217) 581-5000 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 26, 2026, Aug 14, 2024 (2 updates tracked since 2024).

About Kyrrah Rae Randolph Atc NPPES

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

KYRRAH RAE RANDOLPH ATC (NPI 1366274854) is an individual athletic trainer provider in Charleston, Illinois and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1366274854
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKYRRAH RAE RANDOLPHCredential: ATC
Location Address600 LINCOLN AVECharleston, IL 61920-3099
Mailing Address1345 Garfield Ave Apt 1Charleston, IL 61920-3795 · (309) 536-1199
Phone(217) 581-5000
Sole ProprietorNo
Enumeration DateAugust 14, 2024
Last NPPES UpdateMay 26, 20262 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1366274854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
600 LINCOLN AVE, Charleston, IL 61920
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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.

JEHAN AYAP
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
HANNAH CROWLEY
Speech-Language Pathologist
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (271) 581-2712
MISS MICHAELA ELIZABETH DESANTIS ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3811
EASTERN ILLINOIS UNIVERSITY HEALTH SERVICE
Clinic/Center (Student Health)
600 LINCOLN AVE, EASTERN ILLINOIS UNIVERSITY
CHARLESTON, IL 61920
Coles County (217) 581-3015
MR. BRYAN K CALLAWAY FNP
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-3015
ALLISON BERTRAND
Student in an Organized Health Care Education/Training Program
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-2712
MRS. BECKY K OGLE FNP-BC
Nurse Practitioner (Family)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (217) 581-7015
NOAH MIKAEL DAVIS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
600 LINCOLN AVE
CHARLESTON, IL 61920
Coles County (618) 554-8410

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyrrah Randolph's NPI number?

The NPI number for Kyrrah Randolph is 1366274854. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Kyrrah Randolph located?

Kyrrah Randolph practices at 600 Lincoln Ave, Charleston, IL 61920. The listed phone number is (217) 581-5000.

What is Kyrrah Randolph's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kyrrah Randolph was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.