Active NPI
Daryen Isabelle Randall, LMP
- Massage Therapist
- Goldendale, WA
National Provider Identifier
1679488654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA.70025486
- Practice address
- 310 S Roosevelt St
Goldendale, WA 98620-9201 - Phone
- (509) 773-4022
- NPI assigned
- Aug 15, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 28903 | OR | |
| Massage Therapist | 225700000X | MA.70025486 | WA | Primary |
Addresses
Primary practice location
310 S Roosevelt St
Goldendale, WA 98620-9201
Mailing address
11 Harris Rd
Goldendale, WA 98620-3217
Phone (541) 993-8088
Other practice location 1
1040 E Broadway St
Goldendale, WA 98620-9154
Phone (541) 993-8088
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": "1786752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786752000000",
"number": "1679488654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 HARRIS RD",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986203217",
"telephone_number": "541-993-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S ROOSEVELT ST",
"city": "GOLDENDALE",
"state": "WA",
"postal_code": "986209201",
"telephone_number": "509-773-4022"
}
],
"practiceLocations": [
{
"address_1": "1040 E Broadway St",
"address_purpose": "LOCATION",
"city": "Goldendale",
"state": "WA",
"postal_code": "986209154",
"country_code": "US",
"telephone_number": "541-993-8088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "DARYEN",
"middle_name": "ISABELLE",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-15",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "28903",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA.70025486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goldendale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.