KATIE BEATRIC RANDOLPH (NPI# 1194849943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194849943 |
| Entity Type | Individual |
| Full Name | KATIE BEATRIC RANDOLPH |
| Credential | RN |
| Practice Address |
1151 Taylor St Detroit Health Dept. - Herman Kiefer Health Complex Detroit MI 48202-1732 |
| Mailing Address |
4606 Audubon Rd Detroit MI 48224-2797 |
| Practice Telephone | 3138764322 |
| Practice Fax Number | 3138760177 |
| Mailing Telephone | 3138856433 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
4704115117 | MI | Nursing Service Providers |
| Street Address |
1151 TAYLOR ST DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX |
| City | DETROIT |
| State | MI |
| Zip Code | 48202-1732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841303765 | Jerel Nathaniel Owens | Family Medicine | 1151 Taylor St, Detroit Health Center, Detroit, MI 48202-1732 | 2006-08-16 |
| 1982036828 | Institute for Population Health | Public Health or Welfare | 1151 Taylor St, 334c, Detroit, MI 48202-1732 | 2013-08-02 |
| 1932444882 | Anita Moncrease | Internal Medicine | 1151 Taylor St, Detroit, MI 48202-1732 | 2012-12-04 |
| 1083966220 | Donna S. Beal-lloyd | Nurse Practitioner | 1151 Taylor St, Detroit, MI 48202-1732 | 2012-10-11 |
| 1366793531 | Institute for Population Health Inc. | Dentist | 1151 Taylor St, Detroit, MI 48202-1732 | 2012-09-27 |
| 1285995134 | Institute for Population Health Inc. | Dentist | 1151 Taylor St, Detroit, MI 48202-1732 | 2012-06-06 |
| 1285940254 | Paul K Mwicharo | Pharmacist | 1151 Taylor St, Detroit, MI 48202-1732 | 2010-08-27 |
| 1760701262 | City of Detroit | Dentist | 1151 Taylor St, 323 C, Detroit, MI 48202-1732 | 2010-05-24 |
| 1871819839 | Zelda Ree Williams | Counselor | 1151 Taylor St, Detroit, MI 48202-1732 | 2010-04-15 |
| 1457673048 | Emmily Diane Hughes | Registered Nurse | 1151 Taylor St, Detroit, MI 48202-1732 | 2010-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584602 | Andrea Irene Martin | Audiologist | 2799 E Grand Blvd, Detroit, MI 48202 | 2020-10-05 |
| 1174132583 | Odei Alayyas | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Boulevard Henry Ford Hospital, Medical Ed, Detroit, MI 48202 | 2020-07-31 |
| 1912529801 | Aroob Nabil Nimer Sweidan | Student in an Organized Health Care Education/Training Program | 2799 West Grand Boulvard, Department of Internal Meidicine, Cfp 1, Detroit, MI 48202 | 2020-05-13 |
| 1306485636 | Katie Burlen-davis | Registered Nurse | 9045 Woodward Ave, Detroit, MI 48202 | 2020-01-03 |
| 1407401250 | Santhalakshmi Angappan | Student in an Organized Health Care Education/Training Program | Henry Ford Hospital Medical Education Department, 2799 W. Grand Boulevard, Detroit, MI 48202 | 2019-08-08 |
| 1851945687 | Walter Mitini Etoh | Nurse Practitioner | Henry Ford Hospital I1 Observation, 2799 W. Grand Blvd, Detroit, MI 48202 | 2019-07-30 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1700363892 | Zaid Al-saheli | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvdl, Cfp 046, Hope Peck, Detroit, MI 48202 | 2018-07-23 |
| 1932690096 | Yusuf Naser Alalwan | Student in an Organized Health Care Education/Training Program | 2799 W. Grand Blvd. Henry Ford Hospital - Gme Office, Detroit, MI 48202 | 2018-05-24 |
| 1568952729 | Kelvin Sellers | Massage Therapist | 832 Seward, Detriot, MI 48202 | 2018-05-14 |
| Find all providers in zip 48202 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697650 | Wilhelmina Keeling | Registered Nurse | 5400 East Seven Mile, Detroit Health Dept. - Northeast Health Center, Detroit, MI 48234 | 2007-03-16 |
| 1427182252 | Marjorie Anita Harris | Registered Nurse | 14585 Greenfield Road, Detroit Health Dept. - Grace Ross Health Center, Detroit, MI 48227 | 2007-03-15 |
| 1326481755 | Tracy Wallace | Registered Nurse | 15400 W Mcnichols Rd, Detroit, MI 48235-3724 | 2013-04-16 |
| 1386795755 | Patricia Ann Soares | Registered Nurse | 4777 E Outer Dr, Detroit, MI 48234-3241 | 2007-01-14 |
| 1114097870 | Edna Ruth Jackson | Registered Nurse | 2395 W Grand Blvd, Detroit, MI 48208-1210 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427602531 | Jackie Lavete Lucas | Registered Nurse | 19270 Red Maple Ct, Southfield, MI 48076-1006 | 2019-07-26 |
| 1194385930 | Cheryl L Schneider | Registered Nurse | 1200 Ransom St Ste 201, Muskegon, MI 49442-3344 | 2019-06-14 |
| 1891354502 | Marcia A Regalado | Registered Nurse | 11208 Kennebec Ave, Allen Park, MI 48101-1008 | 2019-06-07 |
| 1184289019 | Lena Faling | Registered Nurse | 3200 Horton Rd, Jackson, MI 49203-5549 | 2019-05-06 |
| 1558869180 | Aster Care LLC | Registered Nurse | 1015 Henrietta St, Birmingham, MI 48009-4112 | 2018-01-29 |
| 1295263929 | Karen Ann Zambiasi | Registered Nurse | 2425 S Linden Rd Ste D, Flint, MI 48532-5474 | 2017-05-25 |
| 1891232526 | Maureen Patricia Heathman | Registered Nurse | 470 E Summit St, Milford, MI 48381-1668 | 2017-01-19 |
| 1164897880 | Janet Sims | Registered Nurse | 8291 Frederick St, Salem, MI 48175 | 2015-12-07 |
| 1881085017 | Gina Cummings | Registered Nurse | 103 W Us2, Wakefield, MI 49968 | 2015-02-10 |
| 1376932772 | Sussie Chenault X | Registered Nurse | 25941 Twin Oak Drive, Taylor, MI 48180 | 2015-01-22 |
| Find all providers with the same taxonomy | ||||
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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.