Randall Machalk, RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

149601 Issued in WI

Practice address

475 Chippewa Mall Dr Ste 418
Chippewa Falls, WI 54729-5047

Phone

(715) 720-3780

Fax

(715) 720-7345

NPI assigned

Jun 10, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1417799586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 GUTHRIE RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547030627",
            "telephone_number": "715-579-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHIPPEWA MALL DR STE 418",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547295047",
            "telephone_number": "715-720-3780",
            "fax_number": "715-720-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHALK",
        "first_name": "RANDALL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "WI",
            "license": "149601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Social Services of Wisconsin and Upper Michigan, Inc. (Lutheran Social Services of WI and Upper MI Outpatient Counseling)
• Sheresa L Lynch, PT
• Jami Marie Lyons, DNP, APNP
• M & L Patients Express LLC (Patients' Express, LLC)
• Frank Duncan Macdonald Jr., M.D.
• Julia Kristine Machgan, DMD
• Stephanie Anne Macomber, C.O.T.A.
• Jessica Magur, PTA
• Tony Makary
• Susan Elizabeth Maki, LPC

• Ambulatory Care Registered Nurse in Chippewa Falls, WI
• Providers in Chippewa Falls, WI by specialty
• Ambulatory Care Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.