Active NPI
Meghan Sprouse Randell
- Physician Assistant
- Midlothian, VA
National Provider Identifier
1386386316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008844
- Practice address
- 230 Browns Way Rd
Midlothian, VA 23114-9501 - Phone
- (804) 419-9101
- NPI assigned
- Apr 11, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110008844 | VA | Primary |
Addresses
Primary practice location
230 Browns Way Rd
Midlothian, VA 23114-9501
Mailing address
2827 Preston Park Way
Sandy Hook, VA 23153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0110008844 | Other | VA | LICENSE |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008844 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glen Allen Medi LLC | Past | Accepting new patients | |
| Midlothian Medi LLC | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1083283832
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1760051502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1386386316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2827 PRESTON PARK WAY",
"city": "SANDY HOOK",
"state": "VA",
"postal_code": "23153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 BROWNS WAY RD",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231149501",
"telephone_number": "804-419-9101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDELL",
"first_name": "MEGHAN",
"middle_name": "SPROUSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-11",
"last_updated": "2023-11-01",
"certification_date": "2023-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0110008844",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.