NPI age
7 years
Enumerated 2019-01-14
● Active
Type 1 · Individual
Ashlie Lynn Randall
Randall is 1 of 74 student in an organized health care education/training program providers in Moscow and 1 of 516 in Idaho.
Primary specialty
Student in an Organized Health Care Education/Training Program
Plus 1 subspecialty
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2019-01-14
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 516 active student in an organized health care education/training program providers in Idaho.
NPI age
7 years
↑ 6 yr above median (1 yr)
State licenses
1 state
1% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-01Enumerated in NPPES
2019
2026
Where they practice
Practice location
875 Perimeter Dr
Moscow, ID 838449803
Mailing address
Po Box 1857
Waldport, OR 973941857
Additional practice locations
1 secondary location on file with NPPES.
Location 2
640 Se Ball Blvd
Waldport, OR 97394
Specialties
-
Student in an Organized Health Care Education/Training Program PrimaryAn individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
-
Specialist/TechnologistAthletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 0647098115 | HPSO |
Practice context
Part of a multi-provider practice. 98 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.