Individual provider · Type 1 NPI

Randi Lynne Moreland, PA-C

Physician Assistant · Belleville, IL

NPI number 1891213658 Active

Practice location

4315 Memorial Dr
Belleville, IL 62226-5342

Call (314) 996-7014 Map

Fax (314) 273-0140

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

  • 10435 Clayton Rd, Frontenac, MO 63131-2931 · (314) 985-3002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085006651 (IL)
Physician Assistant 363A00000XPAT9110595 (FL)
Physician Assistant 363A00000X2018038670 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

9 other providers at this address

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About NPI 1891213658

Randi Lynne Moreland, PA-C's National Provider Identifier is 1891213658, issued on Aug 31, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Belleville, IL. The record was last updated on Dec 1, 2025.