| NPI | 1063496255 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-12-01 |
| Last Updated | 2026-02-27 |
| Mailing Address | 18444 N 25th Ave Ste 310 Phoenix, AZ 85023-1266 United States Phone: (866) 974-2673 | Fax: (866) 939-2673 📍 View Map |
| Primary Practice Address | 1840 N Jasper Dr Ste 2 Flagstaff, AZ 86001-1634 United States Phone: (866) 974-2673 | Fax: (866) 939-2673 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | AZ | 946725 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207X00000X – Orthopaedic Surgery | AZ | 34269 |
| No | 207XS0114X – Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | AZ | 34269 |
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About NPI 1063496255
Amber Louise Randall M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063496255. The primary specialty listed is Orthopaedic Surgery. The provider is located in Flagstaff, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-12-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063496255?
NPI 1063496255 belongs to Amber Louise Randall M.D., a Orthopaedic Surgery in Flagstaff, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063496255 active?
The current status of NPI 1063496255 in the NPPES registry is Active. The record was last updated on 2026-02-27.
What specialty is NPI 1063496255?
NPI 1063496255 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063496255?
You can verify NPI 1063496255 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063496255?
The primary practice address on file for NPI 1063496255 is 1840 N Jasper Dr Ste 2, Flagstaff, AZ 86001-1634. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063496255 issued?
NPI 1063496255 was first issued (enumerated) on 2005-12-01. The NPPES record was last updated on 2026-02-27.
Practice Location Map
Amber Louise Randall is located at 1840 N Jasper Dr Ste 2, Flagstaff, AZ. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Amber Louise Randall. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063496255. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Orthopaedic Surgery | 34269 | AZ |
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | 34269 | AZ |