JENNA ANN RANDOLPH (NPI# 1063021673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063021673 |
| Entity Type | Individual |
| Full Name | JENNA ANN RANDOLPH |
| Credential | SLP |
| Practice Address |
4000 Wellness Dr Midland MI 48670-2000 |
| Mailing Address |
2895 Greystone Ln Apt 7 Mt Pleasant MI 48858-8450 |
| Practice Telephone | 9898241148 |
| Mailing Telephone | 9898241148 |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | MI | Speech, Language and Hearing Service Providers |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1841808565 | Mary Adeline Gipson | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
| Find all providers in zip 48670 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366075269 | Karen Ann Walton Ebnit | Speech-Language Pathologist | 4614 Kingston Ct, Midland, MI 48642-3534 | 2020-02-19 |
| 1295370740 | Thompson Speech Therapy Pllc | Speech-Language Pathologist | 5905 Oak Creek Dr, Midland, TX 79707-3184 | 2019-11-07 |
| 1871074401 | Dlya Anne Parsons | Speech-Language Pathologist | 801 S Loop 250 W, Midland, TX 79703-2134 | 2018-08-22 |
| 1902383888 | Linnea Elizabeth Farish | Speech-Language Pathologist | 4308 Boulder Dr, Midland, TX 79707-3612 | 2018-07-24 |
| 1699296640 | Mckenzie Pack | Speech-Language Pathologist | 2407 W Louisiana Ave Ste 110, Midland, TX 79701-5826 | 2017-06-29 |
| 1669904652 | Heather Hill Mata | Speech-Language Pathologist | 6303 Driftwood Dr, Midland, TX 79707-1642 | 2017-03-30 |
| 1548618051 | Kathleen Kinnish | Speech-Language Pathologist | 6015 Dover Ct, Midland, MI 48640-7340 | 2016-05-25 |
| 1013370071 | Lauren Szot | Speech-Language Pathologist | 5511 Rio Grande Ave, Midland, TX 79707-9701 | 2016-03-29 |
| 1689031940 | Jennifer Lewis | Speech-Language Pathologist | 2506 Abbott Rd Apt P5, Midland, MI 48642-4876 | 2016-01-18 |
| 1285019182 | Kimberly Calzada | Speech-Language Pathologist | 4822 W Illinois Ave, Midland, TX 79703-6036 | 2015-07-21 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.