Individual provider Active NPI

Randy Willard Sperring

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, FL
National Provider Identifier
1821144155
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
215 Issued in FL
Practice address
2032 NW 6TH St
Gainesville, FL 32609-3526
Phone
(352) 367-9920
Fax
(352) 367-9921
NPI assigned
Jan 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 215 FL Primary

Addresses

Primary practice location

2032 NW 6TH St
Gainesville, FL 32609-3526

Mailing address

2032 NW 6TH St
Gainesville, FL 32609-3526
Phone (352) 367-9920

Other identifiers 2

IdentifierTypeStateIssuer
215OtherFLSTATE LISCENSE
9518941MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
215FLMDDurable Medical Equipment & Medical Supplies

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412121600000",
    "number": "1821144155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2032 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093526",
            "telephone_number": "352-367-9920",
            "fax_number": "352-367-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093526",
            "telephone_number": "352-367-9920",
            "fax_number": "352-367-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERRING",
        "first_name": "RANDY",
        "middle_name": "WILLARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2014-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE  LISCENSE",
            "identifier": "215",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9518941",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.