Active NPI
Kristopher Ward Randall, DO, MPH
- Aerospace Medicine Physician
- Norfolk, VA
National Provider Identifier
1003337908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 0102205353
- Practice address
- 1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802 - Phone
- (757) 953-9000
- NPI assigned
- Jun 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Aerospace Medicine Physician | 2083A0100X | 0102205353 | VA | Primary |
Addresses
Primary practice location
1721 Admiral Taussig Blvd
Norfolk, VA 23511-2802
Mailing address
Naval Family Branch Health Clinic
1 Chome Misumimachi
Iwakuni, YAMAGUCHI 96310
JP
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205353 | VA | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1003337908",
"addresses": [
{
"country_code": "JP",
"country_name": "Japan",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "NAVAL FAMILY BRANCH HEALTH CLINIC",
"address_2": "1 CHOME MISUMIMACHI",
"city": "IWAKUNI",
"state": "YAMAGUCHI",
"postal_code": "96310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 ADMIRAL TAUSSIG BLVD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235112802",
"telephone_number": "757-953-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "KRISTOPHER",
"middle_name": "WARD",
"credential": "DO, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-29",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "VA",
"license": "0102205353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.