Active NPI
Randall Marie Schaefer, RN
- Administrator Registered Nurse
- Fort Irwin, CA
National Provider Identifier
1205019734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 533983
- Practice address
- 4TH Street
Fort Irwin, CA 92310-5109 - Phone
- (760) 380-6358
- NPI assigned
- Dec 6, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 533983 | CA | Primary |
Addresses
Primary practice location
4TH Street
Fort Irwin, CA 92310-5109
Mailing address
PO Box 105109
Fort Irwin, CA 92310-5109
Phone (760) 380-6358
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 533983 | CA | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1205019734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 105109",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "923105109",
"telephone_number": "760-380-6358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4TH STREET",
"city": "FORT IRWIN",
"state": "CA",
"postal_code": "923105109",
"telephone_number": "760-380-6358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "RANDALL",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "CA",
"license": "533983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Irwin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.