ASHLIE LYNN RANDALL
NPI 1619441540
Student in an Organized Health Care Education/Training Program in Moscow, ID

Active since January 14, 2019
875 PERIMETER DR, MOSCOW, ID 83844(208) 885-6111 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashlie Lynn Randall NPPES

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

ASHLIE LYNN RANDALL (NPI 1619441540) is an individual student in an organized health care education/training program in Moscow, Idaho and active in the NPI registry since January 2019. She maintains a secondary practice location in Waldport.

NPPES Registry Identity

NPI1619441540
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameASHLIE LYNN RANDALL
Location Address875 PERIMETER DRMoscow, ID 83844-9803
Mailing AddressPo Box 1857Waldport, OR 97394-1857 · (208) 318-8397
Sole ProprietorYes
Enumeration DateJanuary 14, 2019
NPI 1619441540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
875 PERIMETER DR, Moscow, ID 83844

Secondary Practice Location 1

Location 1640 SE Ball blvdWaldport, OR 97394 · Phone (208) 318-8397

Other Identifiers 1

Other0647098115ID · Hpso

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.

Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844
Specialist/Technologist (Athletic Trainer)
875 PERIMETER DR
MOSCOW, ID 83844
Student in an Organized Health Care Education/Training Program
875 PERIMETER DR
MOSCOW, ID 83844

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 Ashlie Randall's NPI number?

The NPI number for Ashlie Randall is 1619441540. It was assigned to this individual provider in the NPPES registry on January 14, 2019.

Where is Ashlie Randall located?

Ashlie Randall practices at 875 Perimeter Dr, Moscow, ID 83844. The listed phone number is (208) 885-6111.

What is Ashlie Randall's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ashlie Randall was last updated on January 14, 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.