MRS. MELODY D RANDLE (NPI# 1326462854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326462854 |
| Entity Type | Individual |
| Full Name | MRS. MELODY D RANDLE |
| Credential | DNP, FNP-C |
| Practice Address |
53 S. Laurel Street 2nd Floor Bridgeton NJ 08302 |
| Practice Telephone | 3023276567 |
| Mailing Telephone | 8564514700 |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP013506 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00481000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000726 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Springdale Rd The Shoppes At Holly Ravine, Cherry Hill, NJ 080625909 | 8564653203 |
| Street Address |
53 S. LAUREL STREET 2ND FLOOR |
| City | BRIDGETON |
| State | NJ |
| Zip Code | 08302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508390196 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Northwest Drive, Bridgeton, NJ 08302 | 2017-04-20 |
| 1124552716 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 198 Roadstown Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1861926453 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 555 Burlington Road, Bridgeton, NJ 08302 | 2017-04-20 |
| 1306370994 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 92 Princeton Avenue, Bridgeton, NJ 08302 | 2017-04-20 |
| 1205360245 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 50 Roberts Avenue, Bridgeton, NJ 08302 | 2017-04-17 |
| 1649704602 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 28 West Park Drive, Bridgeton, NJ 08302 | 2017-04-17 |
| 1871043299 | Leah Sadler | Counselor | 90 S Burlington Rd, 189, Bridgeton, NJ 08302 | 2016-10-10 |
| 1245695428 | Bkt High Quality Healthcare Agency LLC | Home Health | 6 South Laurel St., 2nd Floor, Bridgeton, NJ 08302 | 2015-12-15 |
| 1073986493 | Caringhouse Projects, Inc | Respite Care | 1040 Laurel Lane, Deerfield Township, NJ 08302 | 2015-11-06 |
| 1174903256 | Christopher Struby | Internal Medicine | 201 Laurel Heights Dr # 201, Bridgeton, NJ 08302 | 2015-06-04 |
| Find all providers in zip 08302 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336703883 | Elena A Barrow | Nurse Practitioner | 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 | 2019-04-30 |
| 1144789751 | Emily Christine Machens | Nurse Practitioner | 12266 De Paul Dr Ste 315, Bridgeton, MO 63044-2514 | 2019-03-14 |
| 1205310950 | Danielle Mathis | Nurse Practitioner | 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 | 2018-09-19 |
| 1134635022 | Alice Q Torregosa | Nurse Practitioner | 4014 Avery Ln, Bridgeton, MO 63044-2101 | 2017-12-14 |
| 1568890887 | Lee Ann Summers | Nurse Practitioner | 12255 Depaul Drive Suite 200, Bridgeton, MO 63044 | 2013-10-23 |
| 1316286248 | Donna M Hall | Nurse Practitioner | 12255 De Paul Dr Ste 700, Bridgeton, MO 63044 | 2013-02-13 |
| 1447588611 | Rosemarie Stag | Nurse Practitioner | 53 S Laurel St Fl 2, Bridgeton, NJ 08302-1946 | 2009-11-30 |
| 1043229883 | Diane M Burt | Nurse Practitioner | 265 Irving Ave, Bridgeton, NJ 08302-2121 | 2006-08-07 |
| 1841235256 | Sherrie Renee Colaneri-day | Nurse Practitioner | 700 North Pearl Street, Bridgeton, NJ 08302 | 2006-06-19 |
| 1952354094 | Christin A Prather | Nurse Practitioner | 12266 De Paul Dr Ste 210, Bridgeton, MO 63044-2514 | 2006-05-18 |
| Find all providers in BRIDGETON | ||||
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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.