MISS ABIGAIL RANDALL (NPI# 1104443308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104443308 |
| Entity Type | Individual |
| Full Name | MISS ABIGAIL RANDALL |
| Credential | APRN, PMHNP-BC |
| Practice Address |
871 Professional Park Dr Clarksville TN 37040-5257 |
| Mailing Address |
275 Cumberland Bnd Nashville TN 37228-1805 |
| Practice Telephone | 8668160433 |
| Mailing Telephone | 6157263340 |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2020-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
28245 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790237683 | Abigail Randall | Nurse Practitioner | 777 Banister Dr, Clarksville, TN 37042-6681 | 2016-10-26 |
| Street Address |
871 PROFESSIONAL PARK DR |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235242108 | Karen E. Freeman | Counselor | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2006-08-16 |
| 1316557556 | Rebecca Parks | Social Worker | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2020-08-03 |
| 1487296554 | Heather Lynette Baker | Counselor | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2019-10-10 |
| 1023538923 | Candace-tara C Cook | Social Worker | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2017-06-21 |
| 1568853174 | Shea Michelle Wilson | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-02-18 |
| 1104000769 | Stacy Fye | Counselor | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760878474 | Candise Belmont | Nurse Practitioner | 103 Jefferson St Ste 100, Clarksville, TN 37040 | 2015-04-09 |
| 1114536539 | Clarity Mental Health Plc | Nurse Practitioner | 1820 Haynes St, Clarksville, TN 37043-4547 | 2020-07-31 |
| 1336765411 | Kayla Renee Mcmanus | Nurse Practitioner | 900 Professional Park Dr, Clarksville, TN 37040-5244 | 2020-06-24 |
| 1235762774 | Jill Standley | Nurse Practitioner | 915 Mcclardy Rd, Clarksville, TN 37042-6734 | 2020-02-12 |
| 1710529136 | Stacy Dycus | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2019-10-17 |
| 1992354476 | Megan Jean Zamora | Nurse Practitioner | 143 Industrial Pkwy, Clarksville, VA 23927-3140 | 2019-09-08 |
| 1194235184 | Elizabeth Kathleen Burton | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2017-10-04 |
| 1992225874 | Marsha Walker | Nurse Practitioner | 782 Weatherly Dr, Clarksville, TN 37043-8941 | 2017-06-22 |
| 1124560784 | Sarah Elizabeth Lizotte | Nurse Practitioner | 511 8th St, Clarksville, TN 37040-3093 | 2016-11-14 |
| 1568853174 | Shea Michelle Wilson | Nurse Practitioner | 871 Professional Park Dr, Clarksville, TN 37040-5257 | 2015-02-18 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on MISS ABIGAIL RANDALL.
| 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.