AMBER NICHOLE RANDALL


Address: 1010 E 45th St, Shawnee, OK 74804-2202
Phone: 4052731170

AMBER NICHOLE RANDALL (NPI# 1174179675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174179675
Entity Type Individual
Full Name AMBER NICHOLE RANDALL
Practice Address 1010 E 45th St
Shawnee
OK 74804-2202
Mailing Address Po Box 3848
Shawnee
OK 74802-3848
Practice Telephone 4052731170
Practice Fax Number 4052755132
Mailing Telephone 4055704346
Mailing Fax Number 4052755132
Enumeration Date 2019-08-12
Last Update Date 2019-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers AMBER RANDALL

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1518422633 Amber Randall Behavior Technician 107 Devine St, Stanley, NC 28164-1151 2019-02-02
1134632532 Amber Randall Technician 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 2017-11-08
1063496255 Amber Louise Randall Orthopaedic Surgery 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001-1479 2005-12-01

Office Location

Street Address 1010 E 45TH ST
City SHAWNEE
State OK
Zip Code 74804-2202

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144331802 Gateway To Prevention and Recovery, Inc. Clinic/Center 1010 E 45th St, Shawnee, OK 74804-2202 2006-08-31
1669090080 Francis Payton Johnsom Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2020-07-13
1730706821 Harrison Blake Hartzell Peer Specialist 1010 E 45th St, Shawnee, OK 74804-2202 2020-07-06
1992349427 Dominque Latreace Simmons Assistant Behavior Analyst 1010 E 45th St, Shawnee, OK 74804-2202 2019-10-28
1215570452 Rachel Beiermann Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2019-10-21
1962962837 Sydney Reeves Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2019-03-25
1083174353 Tara Lynn Merritt Peer Specialist 1010 E 45th St, Shawnee, OK 74804-2202 2019-03-22
1962962233 Emalee R Staude Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2019-03-22
1144704974 Brooke Anson Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2018-09-18
1093209116 Tai Keawphalouk Case Manager/Care Coordinator 1010 E 45th St, Shawnee, OK 74804-2202 2018-06-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164063699 Isaac Benjamin Gray Student in an Organized Health Care Education/Training Program 4010 Blaine Road, Shawnee, OK 74804 2019-10-06
1750863775 Dillon Gibson Specialist/Technologist Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 2018-09-06
1912368242 Peggy Baker Occupational Therapist 7602 N. Kickapoo, Shawnee, OK 74804 2016-03-15
1861731093 Shariff Mohammed El-assi Behavioral Analyst 45 Crown Point, Shawnee, OK 74804 2013-02-07
1902103112 Action Physical Therapy & Rehabilitation, Pllc Physical Therapist 2506 N Harrison, Shawnee, OK 74804 2011-02-24
1639493315 Oklahoma Em - 1 Medical Services,p.c. Emergency Medicine 1102 W.macarthur, Shawnee, OK 74804 2010-03-24
1790989473 Eastern Oklahoma Radiation Associates, LLC Radiology 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 2007-06-14
1821210444 Mickey Sehorn D.d.s., P.C. Dentist 1601 Airport Drive, Shawnee, OK 74804 2007-05-03
1760525711 Leanna Rae Olsen Registered Nurse 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 2007-02-15
1467517920 Mahmoud Abdel-fattah Khalifa Pathology Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 2006-12-26
Find all providers in zip 74804

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134753833 Karley Rian English Case Manager/Care Coordinator 1204 N Market Ave, Shawnee, OK 74801-4924 2020-03-03
1194369090 Jamie Hileman Case Manager/Care Coordinator 1829 N Louisa Ave, Shawnee, OK 74804-3627 2019-11-04
1225527278 Lisa I Zientek Case Manager/Care Coordinator 108 Rene Pl, Shawnee, OK 74804-8980 2018-05-04
1083131437 Calla Cashai Carolina Case Manager/Care Coordinator 712 W Wood St, Shawnee, OK 74801-4705 2017-08-26
1033650080 Micaela R Yu Case Manager/Care Coordinator 2521 Bradford Ct, Shawnee, OK 74804-1837 2017-03-09
1225489818 Billy Wayne Copeland Case Manager/Care Coordinator 2208 N Minnesota Ave, Shawnee, OK 74804-3029 2016-06-25
1508223314 Jennifer Creecy Case Manager/Care Coordinator 1510 N Minnesota Ave, Shawnee, OK 74804-3841 2016-01-25
1144608563 Troy Thomas Becker Case Manager/Care Coordinator 1900 Brownstone Way, Shawnee, OK 74804-1843 2015-05-18
1639568355 Jeana Tiger Case Manager/Care Coordinator 33207 45th St, Shawnee, OK 74804-3423 2015-01-19
1952722704 Janet Durbin Case Manager/Care Coordinator 1204 Monroe Dr, Shawnee, OK 74804-4139 2013-12-20
Find all providers in SHAWNEE

Competitor

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City SHAWNEE
Zip Code 74804

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Dataset Information

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.

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