RANDALL KENNETH CANTRELL, general contractor — NPI 1689712010 (Licensed & Credentialed Contractor, Home Modifications in POUND, VA)

CMS-1500 Box 24J / 33a • NPI

1689712010

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

171WH0202X

Licensed & Credentialed Contractor, Home Modifications

Box 32 Service Location & ZIP+4

8902 ORBY CANTRELL HWY, POUND, VA, 24279-3216

✓ 9-Digit EDI 837 ZIP+4 (24279-3216)

Practice Phone & Referral Fax

(276) 796-5789

Fax: (276) 796-5789

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689712010 (RANDALL KENNETH CANTRELL, general contractor) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1689712010` (NPI-1 Individual Practitioner)
Provider / Legal Name	RANDALL KENNETH CANTRELL, general contractor
Plain-English Specialty	Licensed & Credentialed Contractor, Home Modifications NUCC Code: `171WH0202X` (Contractor, Home Modifications)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8902 ORBY CANTRELL HWY, POUND, VA, 24279-3216
Practice Telephone / Fax	Tel: (276) 796-5789 \| Fax: (276) 796-5789
Administrative Mailing Address	8902 ORBY CANTRELL HWY, POUND, VA, 24279-3216
Enumeration & Last Sync	Enumerated: 2007-02-01 \| CMS Record Updated: 2007-07-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8902 ORBY CANTRELL HWY, POUND, VA, 24279-3216

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Plain-English Taxonomy & CMS Crosswalk (171WH0202X)

What Does Taxonomy Code 171WH0202X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171WH0202X translates to:
"Licensed & Credentialed Contractor, Home Modifications"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Contractor, Home Modifications for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RANDALL KENNETH CANTRELL, general contractor)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171WH0202X` — Contractor, Home Modifications Plain English: Licensed & Credentialed Contractor, Home Modifications	State: VA \| License: `2705030223` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RANDALL KENNETH CANTRELL, general contractor (NPI #1689712010)