Randall Walls Jr.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2301 Laurel Run Pisgah Rd
Bruceton Mills, WV 26525-5693

Phone

(304) 685-8219

NPI assigned

Sep 18, 2020

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

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1609482298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LAUREL RUN PISGAH RD",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265255693",
            "telephone_number": "304-685-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LAUREL RUN PISGAH RD",
            "city": "BRUCETON MILLS",
            "state": "WV",
            "postal_code": "265255693",
            "telephone_number": "304-685-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLS",
        "first_name": "RANDALL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Tinnell
• Ryan Turner, PHARMD
• Christopher Bradley Unger
• Margaret Uryasz, RD, LD
• Matthew Taylor Vero, PA-C
• Samantha Walls
• Vanessa S Watring, DPT
• West Virginia University Medical Corporation
• Western Maryland Health Care Corporation
• Cassondra M White, PHARM.D.

• Personal Care Attendant in Bruceton Mills, WV
• Providers in Bruceton Mills, WV by specialty
• Personal Care Attendant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.