Active NPI
Randy Finn
- Art Therapist
- Red Lake, MN
National Provider Identifier
1487864047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- Main Road
Red Lake, MN 56671-0427 - Phone
- (218) 679-2122
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
Main Road
Red Lake, MN 56671-0427
Mailing address
06334 160TH Street
PO Box 450
Cass Lake, MN 56633-0450
Phone (218) 335-8110
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487864047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "06334 160TH STREET",
"address_2": "PO BOX 450",
"city": "CASS LAKE",
"state": "MN",
"postal_code": "566330450",
"telephone_number": "218-335-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAIN ROAD",
"city": "RED LAKE",
"state": "MN",
"postal_code": "566710427",
"telephone_number": "218-679-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINN",
"first_name": "RANDY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.