MRS. JACQUELINE ANN RANDOLPH (NPI# 1124216395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124216395 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE ANN RANDOLPH |
| Credential | IBCLC,RLC |
| Practice Address |
4131 Avalon Pl Murfreesboro TN 37128-4520 |
| Practice Telephone | 6158950068 |
| Practice Fax Number | 6158950068 |
| Mailing Telephone | 6158950068 |
| Mailing Fax Number | 6158950068 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | TN | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578970059 | Jacqueline Randolph | Counselor | 4218 North Grand Blvd, St. Louis, MO 63107 | 2014-07-17 |
| Street Address |
4131 AVALON PL |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37128-4520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386196020 | Kayce Gaw | Nurse Practitioner | 4432 Veteran Pkwy, Murfreesburo, TN 37128 | 2016-10-28 |
| 1912459009 | William Alan Brasch | Physical Therapy Assistant | 3209 Grantown Dr, Murfreesboro, TN 37128 | 2016-10-25 |
| 1558811695 | Tennessee Family Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 722-724 Stone Trace Drive, Murfreesboro, TN 37128 | 2016-10-13 |
| 1225584469 | Mitchel Hubert | Hearing Instrument Specialist | North, 2441 Old Fort Pkwy, Murfreesboro, TN 37128 | 2016-08-28 |
| 1821445776 | Amy Sickman Parsley | Optometrist | Integrity Eye Care, 4144 Franklin Road, Murfreesboro, TN 37128 | 2016-05-20 |
| 1043610561 | Joseph Mark Cotten | Nurse Practitioner | 4058 Franklin Rd, Murfreesboro, TN 37128 | 2014-09-03 |
| 1811313489 | Miriam Ijeoyibo Obioha | Nurse Anesthetist, Certified Registered | 3033 Community Cir, Murfreesboro, TN 37128 | 2014-03-06 |
| 1770924284 | Omni Community Health | Clinic/Center | 545 Brandies Circle, Murfreesboro, TN 37128 | 2013-07-12 |
| 1336400480 | Jokeidre Butler | Dentist | 1141 Fortress Blvd, Ste D., Murfreesboro, TN 37128 | 2012-06-05 |
| 1497012959 | Trustpoint Hospital, LLC | Psychiatric Hospital | 1009 N. Thompson Ln, Murfreesboro, TN 37128 | 2012-04-20 |
| Find all providers in zip 37128 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083122642 | Daniela Kam | Specialist | 2615 Medical Center Pkwy Ste 1560, Murfreesboro, TN 37129-3758 | 2018-01-17 |
| 1437496577 | Center for Spine Joint and Neuromuscular Rehab PC | Specialist | 833 Memorial Blvd, Suite E, Murfreesboro, TN 37129-2986 | 2013-01-09 |
| 1356675177 | Jerry Neal Campbell | Specialist | 2110 Windsor St, Murfreesboro, TN 37130-1721 | 2009-09-25 |
| 1013156231 | Pain Management Group, P.C. | Specialist | 1547 Warrior Dr, Murfreesboro, TN 37128-0921 | 2009-02-11 |
| 1437316312 | Dana L Cox | Specialist | 257 Mcniel Dr, Murfreesboro, TN 37128-4509 | 2008-05-19 |
| 1073789004 | Sylvia Lunn | Specialist | 847 N Church St, Murfreesboro, TN 37130-2826 | 2008-04-30 |
| 1114102050 | Alice Jeanette Johnson | Specialist | 931 E Northfield Blvd, Murfreesboro, TN 37130-1204 | 2008-01-09 |
| 1881880961 | Columbia Radiation Oncology | Specialist | 509 E Bell St, Murfreesboro, TN 37130-3059 | 2007-09-21 |
| 1437299195 | Stones River Medical Group PC | Specialist | 726 S. Church Street, Murfreesboro, TN 37130 | 2007-02-08 |
| 1063502029 | Scott R Mason | Specialist | 1840 Medical Center Pkwy Ste 200, Murfreesboro, TN 37129-3237 | 2006-10-13 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37128 |
Please comment or provide details below to improve the information on MRS. JACQUELINE ANN 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.