CASSIDY RANIQUE RANDLE DO NPI 1437737301

NPI Information

  • NPI: 1437737301
  • Provider Name: CASSIDY RANIQUE RANDLE, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 245 FOUNTAIN CT STE 120
    LEXINGTON, KY
    ZIP 40509
  • Phone: (859) 218-2626

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NPI Details

Cassidy Ranique Randle, DO is a family medicine in Lexington, KY with 5 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Cassidy Ranique Randle, DO NPI is 1437737301. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduation Year:2021

The provider's business location address is:

245 FOUNTAIN CT STE 120
LEXINGTON, KY
ZIP 40509-792
Phone: (859) 218-2626
Fax: (859) 257-3322

The NPI 1437737301 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2021 and was last updated on 1/13/2025.

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
1207Q00000XFamily Medicine05930KENTUCKYYes

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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