Active NPI
Randi K Obrien, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Spokane, WA
National Provider Identifier
1457346108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30006159
- Practice address
- 621 W Mallon Ave Ste 503
Spokane, WA 99201-2181 - Phone
- (509) 455-5546
- Fax
- (509) 455-5201
- NPI assigned
- Sep 19, 2005
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30006159 | WA | Primary |
Addresses
Primary practice location
621 W Mallon Ave Ste 503
Spokane, WA 99201-2181
Mailing address
621 W Mallon Ave Ste 503
Spokane, WA 99201-2181
Phone (509) 455-5546
Other practice location 1
829 W Broadway Ave
Spokane, WA 99201-2117
Phone (509) 323-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9637331 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington State University | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1457346108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 W MALLON AVE STE 503",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012181",
"telephone_number": "509-455-5546",
"fax_number": "509-455-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 W MALLON AVE STE 503",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012181",
"telephone_number": "509-455-5546",
"fax_number": "509-455-5201"
}
],
"practiceLocations": [
{
"address_1": "829 W Broadway Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992012117",
"country_code": "US",
"telephone_number": "509-323-7600",
"fax_number": "509-323-7602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OBRIEN",
"first_name": "RANDI",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30006159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9637331",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.