Randi Y Barbon, RN, CDE

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

041249777 Issued in IL

Practice address

360 Station Dr
3Rd Floor
Crystal Lake, IL 60014-7978

Phone

(815) 356-2383

Fax

(815) 356-2385

NPI assigned

Nov 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1619205036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13707 W JACKSON ST",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600983188",
            "telephone_number": "815-337-1871",
            "fax_number": "815-338-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 STATION DR",
            "address_2": "3RD FLOOR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147978",
            "telephone_number": "815-356-2383",
            "fax_number": "815-356-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBON",
        "first_name": "RANDI",
        "middle_name": "Y",
        "name_prefix": "Ms.",
        "credential": "RN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "041249777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE NUMBER",
            "identifier": "041249777",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailee Bane, RBT
• Moriah Bang, D.O.
• Farhan J Bangash, DO
• Debra Baran, LCPC, CADC
• Marguerite Angela Barbagallo, D.D.S.
• Jonathan Paul P. Barbosa
• Sarah Jane Barham
• Angelica Barnes, LPC
• Kevin Franklin Barnes, A.T.C./L.
• Cheryl Barnhart

• Diabetes Educator Registered Nurse in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.