Active NPI
Randi Beth Light, MS
- Specialist
- Valparaiso, IN
National Provider Identifier
1235586660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3329 - Phone
- (219) 252-5464
- Fax
- (219) 728-1860
- NPI assigned
- May 16, 2016
- Last updated
- May 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2005 Valparaiso St
Suite 209
Valparaiso, IN 46383-3329
Mailing address
37 Shore Dr
Portage, IN 46368-1008
Phone (219) 929-8726
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
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Pincus & Associates, Inc. | Past | Accepting new patients | |
| Lpa Co. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Marriage & Family Therapist
- Michigan City, IN
- NPI 1346563004
-
- Marriage & Family Therapist
- Valparaiso, IN
- NPI 1952852105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1235586660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 SHORE DR",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463681008",
"telephone_number": "219-929-8726",
"fax_number": "219-728-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 VALPARAISO ST",
"address_2": "SUITE 209",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463833329",
"telephone_number": "219-252-5464",
"fax_number": "219-728-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHT",
"first_name": "RANDI",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valparaiso, IN
- Myron I Lewyckyj, M.D.
- Bettyann Lichtenstein, MA
- Life and Trauma Survivor Center LLC
- Lifestyle DME Group, LLC (Lifestyle Medical Solutions)
- Lifetime Dental Care of Indiana, PC (Family Dental Care)
- Eugene Lin, MD
- Nathaniel Joseph Lin
- Daniel Paul Linert, M.D.
- Live, Breathe & Play Therapy, LLC
- Mallory Gore Livengood, DNP, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.