NPI 1902684475 · live from the CMS NPI Registry
Randi Countryman
Nurse Practitioner, Pediatrics in Arab, AL. National Provider Identifier 1902684475, active.
NPI record
| NPI | 1902684475 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 121 Golfview Dr Ne, Arab, AL 35016 |
| Practice phone | 256-931-5437 |
| Mailing address | 21908 Us Highway 11, Steele, AL 35987 |
| Enumerated | September 18, 2023 |
| Last updated | January 19, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 1-190173 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.