Active NPI
Randall E Champion
- Driver
- Farmington, AR
National Provider Identifier
1902363849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 938795393
- Practice address
- 120 Southwinds Rd Ste 2
Farmington, AR 72730-8652 - Phone
- (479) 300-6400
- NPI assigned
- Feb 27, 2019
- Last updated
- Feb 27, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 938795393 | AR | Primary |
Addresses
Primary practice location
120 Southwinds Rd Ste 2
Farmington, AR 72730-8652
Mailing address
1900 Stillwater Dr
Jonesboro, AR 72404-9119
Phone (870) 932-3600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 938795393 | AR | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1902363849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 STILLWATER DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724049119",
"telephone_number": "870-932-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTHWINDS RD STE 2",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727308652",
"telephone_number": "479-300-6400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMPION",
"first_name": "RANDALL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-27",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AR",
"license": "938795393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, AR
- Cardinal Care Center, P.L.L.C.
- Benjamin Wagner Carlyle, M.D.
- Trevor Farentino Carter, ATC
- Mallory Causey
- CBC Professionals, LLC
- Charis Counseling PLLC (Mindy Grusing)
- Janet Leanne Cobb, PT, DPT
- Mallory Cochran
- Collier Drug Stores Inc (Collier Drug-Farmington)
- Collier Drug Stores Inc (Collier Drug - Farmington)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.