Randy Gerald Roberg, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

500 S Dayton St
Kennewick, WA 99336-5640

Phone

(509) 222-6843

NPI assigned

Apr 13, 2006

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": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790749232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W 6TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993364702",
            "telephone_number": "509-586-1579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S DAYTON ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993365640",
            "telephone_number": "509-222-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERG",
        "first_name": "RANDY",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melisa Dawn Rivera, LMT
• Rosie Rivera
• RN Solutions NW, LLC
• Bartholomew Sullivan Roach, DDS
• John Michael Roach, MD
• Robert a Kiddy III
• Robert Goldstein, M.D., PS
• Roberta D. Livingston LMT
• Amy E Roberts-Stark, RN
• Kalie Marie Roberts, L.M.P.

• Athletic Trainer in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Athletic Trainer in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.