MISS ASHLEY RANDLEMAN (NPI# 1235587890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235587890 |
| Entity Type | Individual |
| Full Name | MISS ASHLEY RANDLEMAN |
| Credential | CPNP |
| Practice Address |
1205 Se Professional Mall Blvd Suite 104 Pullman WA 99163-5423 |
| Mailing Address |
540 E Main St Apt. 1 Pullman WA 99163-2660 |
| Practice Telephone | 5093322605 |
| Mailing Telephone | 3364289166 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP 60659221 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1205 SE PROFESSIONAL MALL BLVD SUITE 104 |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163-5423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659354835 | Alvin Lyle Frostad | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2005-11-22 |
| 1992184972 | Apple A Day Family Medicine | Family Medicine | 1205 Se Professional Mall Blvd, Suite 105, Pullman, WA 99163-5423 | 2015-05-24 |
| 1124418520 | Kami Cornwall | Counselor | 1205 Se Professional Mall Blvd, Suite 109, Pullman, WA 99163-5423 | 2015-01-23 |
| 1710240924 | Whitman County Health Department | Public Health or Welfare | 1205 Se Professional Mall Blvd, Suite 203, Pullman, WA 99163-5423 | 2012-06-21 |
| 1518272418 | Jonathan B Fisher, Dds,pllc | Dentist | 1205 Se Professional Mall Blvd, Suite 201, Pullman, WA 99163-5423 | 2010-08-16 |
| 1952622938 | John S. Mcinturff | Dentist | 1205 Se Professional Mall Blvd, Suite 202, Pullman, WA 99163-5423 | 2010-06-14 |
| 1821261728 | Methuel Andriano Vishnu Gordon | Pediatrics | 1205 Se Professional Mall Blvd, Suite 104, Pullman, WA 99163-5423 | 2008-04-11 |
| 1508075128 | Marcus Torrey Dds Pllc | Dentist | 1205 Se Professional Mall Blvd, Suite 201, Pullman, WA 99163-5423 | 2007-05-21 |
| 1780732073 | Douglas W Lane | Psychologist | 1205 Se Professional Mall Blvd, Suite 113, Pullman, WA 99163-5423 | 2007-01-05 |
| 1063582971 | Devlin & Huberty Ps | Obstetrics & Gynecology | 1205 Se Professional Mall Blvd, Ste 102, Pullman, WA 99163-5423 | 2006-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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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.