RUSSELL JOSEPH RANDALL NPI 1417842014

NPI Information

  • NPI: 1417842014
  • Provider Name: RUSSELL JOSEPH RANDALL
  • Classification: Registered Nurse - 163WR0006X
  • Specialization: Registered Nurse First Assistant
  • Entity Type: Individual
  • Address: 1825 LOGAN AVE
    WATERLOO, IA
    ZIP 50703
  • Phone: (319) 235-3886

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NPI Details

Russell Joseph Randall is a registered nurse first assistant registered nurse in Waterloo, IA. The provider is a perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. Russell Joseph Randall NPI is 1417842014. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1825 LOGAN AVE
WATERLOO, IA
ZIP 50703-916
Phone: (319) 235-3886

The enumeration date for this NPI number is 6/12/2025 and was last updated on 6/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WR0006XRegistered NurseRegistered Nurse First Assistant098331IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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