JESSICA LUANNE RANDOLPH (NPI# 1073954400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073954400 |
| Entity Type | Individual |
| Full Name | JESSICA LUANNE RANDOLPH |
| Credential | FNP-BC |
| Practice Address |
438 N Whitney Ave Cookeville TN 38501 |
| Mailing Address |
127 N Oak Ave Ste D Cookeville TN 38501-2435 |
| Practice Telephone | 9317832616 |
| Practice Fax Number | 9317832610 |
| Mailing Telephone | 9317835857 |
| Mailing Fax Number | 9315266760 |
| Enumeration Date | 2013-07-14 |
| Last Update Date | 2018-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 17758 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 115 Guffey St, Celina, TN 38551 | 9312432651 | 9312433132 |
| 135 Walker St, Sparta, TN 385831725 | 9318362201 | |
| 4120 Bradford Hicks Dr, Livingston, TN 385702213 | 9318235603 | 9314030574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275191074 | Jessica Randolph | Nurse Practitioner | 5965 E Broad St Ste 200, Columbus, OH 43213-1562 | 2019-06-05 |
| 1174842215 | Jessica Randolph | Counselor | 205 S. Jt Stites, Sallisaw, OK 74955-9301 | 2010-05-28 |
| 1053788000 | Jessica Vernola Randolph | Podiatrist | 4921 E Bell Rd Ste 205, Scottsdale, AZ 85254 | 2015-08-25 |
| 1669877262 | Jessica Randolph | Case Manager/Care Coordinator | 7107 W 12th St, Suite 201, Little Rock, AR 72204-2404 | 2014-10-27 |
| 1447487301 | Jessica Dionne Randolph | Ophthalmology | 401 N 11th St, Richmond, VA 23219-1901 | 2009-06-18 |
| 1285754366 | Jessica Lynn Randolph | Counselor | 201 I U Willets Rd, Vocational Evaluation, Albertson, NY 11507-1516 | 2007-03-30 |
| Street Address |
438 N WHITNEY AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303166 | Maan Akram Anbari | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2005-06-01 |
| 1982036778 | Brenton Allen Hugh Rogers | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2013-08-02 |
| 1952743411 | Nicole Pisapia | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2013-07-25 |
| 1396994356 | Donna J Winningham | Clinical Nurse Specialist | 438 N Whitney Ave, Suite 2, Cookeville, TN 38501-2480 | 2008-09-15 |
| 1689833048 | Venkata S Tammana | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2008-06-02 |
| 1063473569 | James Chike Ezi-ashi | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501 | 2006-04-01 |
| 1346234028 | Joyce F Bremer | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2005-09-08 |
| 1487648507 | Phillip D Bertram | Internal Medicine | 438 N Whitney Ave, Cookeville, TN 38501-2455 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710598685 | Ashley Nicole Huddleston | Nurse Practitioner | 1123 West Gate Rd, Cookeville, TN 38501-9410 | 2020-08-13 |
| 1760953590 | Joseph C Archer | Nurse Practitioner | 315 N Washington Ave Ste 165, Cookeville, TN 38501-2623 | 2018-12-05 |
| 1770940249 | Ken Homolya, Md, LLC | Nurse Practitioner | 406 N Whitney Ave Ste 2, Cookeville, TN 38501-4243 | 2016-01-28 |
| 1043588734 | Benjamin Wade Harmon | Nurse Practitioner | 142 West Fifth Street, Cookeville, TN 38501 | 2011-12-08 |
| 1205149705 | Whitney Lachele Matthews | Nurse Practitioner | 851 S Willow Ave Ste 112, Cookeville, TN 38501-4222 | 2010-07-26 |
| 1659531853 | Tamra Casper | Nurse Practitioner | 851 S Willow Ave Ste 108, Cookeville, TN 38501-4223 | 2008-06-11 |
| 1548226376 | Christopher L Hicks | Nurse Practitioner | 203 N Cedar Ave, Cookeville, TN 38501 | 2006-04-21 |
| 1891777017 | Deborah G Hensley | Nurse Practitioner | 406 N. Whitney Avenue, Suite 5, Cookeville, TN 38501 | 2005-11-15 |
| 1760476881 | Sandra L Bailiff | Nurse Practitioner | 128 N Whitney Ave, Cookeville, TN 38501-2493 | 2005-09-02 |
| 1063404846 | Monica Lynne Means | Nurse Practitioner | 1100 England Dr, Cookeville, TN 38501-0924 | 2005-08-18 |
| Find all providers in COOKEVILLE | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on JESSICA LUANNE RANDOLPH.
| 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.