Randolph-Macon College

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

RANDOLPH-MACON COLLEGE

Doing business as

Randolph-Macon College Sports Medicine

Practice address

304 Henry St
Ashland, VA 23005-1647

Phone

(804) 752-3215

NPI assigned

Apr 27, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather Lynn Bauby, LATNPI 1831555929

Title

Office Director

Phone

(804) 752-3215

Specialties & licenses 2

Addresses

Other names 1

• Randolph-Macon College Sports Medicine Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Lynn Bauby, ATC

  • Athletic Trainer
  • Ashland, VA
  • NPI 1831555929
  NPD Authorized official
• Anne Nuthall, ATC

  • Athletic Trainer
  • Ashland, VA
  • NPI 1649153206
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682553600000",
    "number": "1376231381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HENRY ST",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051647",
            "telephone_number": "804-752-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HENRY ST",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230051647",
            "telephone_number": "804-752-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH-MACON COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "BAUBY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE DIRECTOR",
        "authorized_official_telephone_number": "804-752-3215",
        "authorized_official_credential": "LAT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randolph-Macon College Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Janet E Purcell-Baserap, MS, OTR/L
• Brooke Mackenzie Purcell
• Kemelee M Puryear, RN
• Ronald Puryear
• Alejandro Quiroga
• Dana Rebuck, OTR/L
• Kathy Redfearn, LCSW
• Rediclinic LLC
• Reibach Resiliency Counseling LLC
• Remedi Seniorcare of Virginia LLC (Remedi SeniorCare)

• Family Medicine Physician in Ashland, VA
• Providers in Ashland, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.