Randi Small, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001501 Issued in MI

Practice address

2200 N Squirrel Rd
Athletics Center
Rochester, MI 48309-4402

Phone

(248) 370-3132

Fax

(248) 370-4255

NPI assigned

Apr 25, 2016

Last updated

Apr 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1790130052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N SQUIRREL RD",
            "address_2": "ATHLETICS CENTER",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094402",
            "telephone_number": "248-370-3132",
            "fax_number": "248-370-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N SQUIRREL RD",
            "address_2": "ATHLETICS CENTER",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094402",
            "telephone_number": "248-370-3132",
            "fax_number": "248-370-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "RANDI",
        "credential": "AT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arleigh Sites
• Bethany Jane Skolnik
• Angela Marie Slessor, DPT
• Yousif Slim, MD
• Deborah Slocum, RN
• Daniel Smarsch, MS, PA-C
• Anne L Smith, NP
• Donald Smith Jr., MD
• Rachel Smith, DPT
• Brandon Smyth, DO

• Athletic Trainer in Rochester, MI
• Providers in Rochester, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.