Active NPI
Randa Castleberry
- Athletic Trainer
- Edmond, OK
National Provider Identifier
1245756857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 942
- Practice address
- 100 N University Dr # 190
Edmond, OK 73034-5207 - Phone
- (405) 974-3876
- NPI assigned
- Aug 15, 2017
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 942 | OK | Primary |
Addresses
Primary practice location
100 N University Dr # 190
Edmond, OK 73034-5207
Mailing address
1318 S Ripley Rd
Stillwater, OK 74074-7078
Phone (405) 714-3091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 942 | OK | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1245756857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 S RIPLEY RD",
"city": "STILLWATER",
"state": "OK",
"postal_code": "740747078",
"telephone_number": "405-714-3091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N UNIVERSITY DR # 190",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345207",
"telephone_number": "405-974-3876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTLEBERRY",
"first_name": "RANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.