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MRS. JUDITH MYRICK RANDALL ARNP
NPI 1891978763
Nurse Practitioner - Family in North Bend, OR

Active since December 13, 2007
1890 WAITE ST, STE 1, NORTH BEND, OR 97459(541) 756-6232(541) 756-6234 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Judith Myrick Randall Arnp NPPES

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

MRS. JUDITH MYRICK RANDALL ARNP (NPI 1891978763) is an individual family provider in North Bend, Oregon, licensed in Oregon (201250024) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1891978763
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JUDITH MYRICK RANDALLCredential: ARNP
Location Address1890 WAITE ST, STE 1North Bend, OR 97459-1229
Mailing Address1890 Waite St, Ste 1North Bend, OR 97459-1229 · (541) 756-6232 · Fax (541) 756-6234
Phone(541) 756-6232
Fax(541) 756-6234
Sole ProprietorNo
Enumeration DateDecember 13, 2007
Last NPPES UpdateJune 22, 2012
✔ NPI 1891978763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 201250024✔ Licensed in WA · AP30007876
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 201250025NP (OR)
1890 WAITE ST, North Bend, OR 97459
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Other Identifiers 5

Medicare OSCAR/certification381902
OtherR120353Group Ptan Number
Medicare UPINR163264
Medicaid213342OR
Other1619915113Waterfall Clinic, Inc. Group Npi

Other Providers at the Same Location NPPES 16

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

DIANE SMITH
Counselor
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
SHU-WEN CHENG
Nurse Practitioner (Primary Care)
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
MS. GLADYS SHADE QMHP, LCSW
Social Worker (Clinical)
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
DOMINICA N ROBERTS FNP
Nurse Practitioner (Family)
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
INNOVATIVE PHYSICAL THERAPY, INC
Physical Therapist
1890 WAITE ST, SUITE 5
NORTH BEND, OR 97459
Coos County (541) 756-4941
ARTHUR LEE M.S., BCBA
Behavior Analyst
1890 WAITE ST
NORTH BEND, OR 97459
Coos County (541) 756-6232
LAURA JEAN BURNSIDE-MCELLIGOTT
Nurse Practitioner (Family)
1890 WAITE ST, STE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232
ASTRID DIEPENBROEK RDH LIMITED ACCESS
Dental Hygienist
1890 WAITE ST, SUITE 1
NORTH BEND, OR 97459
Coos County (541) 756-6232

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 Judith Randall's NPI number?

The NPI number for Judith Randall is 1891978763. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Judith Randall located?

Judith Randall practices at 1890 Waite St Ste 1, North Bend, OR 97459. The listed phone number is (541) 756-6232.

What is Judith Randall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Judith Randall was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.