NICHOLAS MICHAEL RANDALL (NPI# 1366090540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366090540 |
| Entity Type | Individual |
| Full Name | NICHOLAS MICHAEL RANDALL |
| Practice Address |
3176 Abbott Rd Ste 500 Orchard Park NY 14127-1069 |
| Practice Telephone | 7168222177 |
| Practice Fax Number | 7168228165 |
| Mailing Telephone | 7168222177 |
| Mailing Fax Number | 7168228165 |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093229452 | Nicholas Reed Randall | Student in an Organized Health Care Education/Training Program | 412 E Spokane Falls Blvd, Spokane, WA 99202-2131 | 2017-11-21 |
| Street Address |
3176 ABBOTT RD STE 500 |
| City | ORCHARD PARK |
| State | NY |
| Zip Code | 14127-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619220902 | Nyenya Tooles | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2012-10-24 |
| 1356955496 | Joseph Kemp | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2020-09-05 |
| 1942821384 | Katelyn Steff | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2020-04-27 |
| 1770116881 | Amanda Lepertine | Registered Nurse | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2020-02-17 |
| 1154969848 | Delise K Jackson | Registered Nurse | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-12-13 |
| 1356987846 | Danielle Hall | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-11-20 |
| 1295385615 | Ashley Pajor | Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-09-17 |
| 1255988879 | Paula Michale Simpson | Nurse Practitioner | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-08-19 |
| 1881246817 | Kimberly Dionne Brooks | Case Manager/Care Coordinator | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-07-10 |
| 1518523935 | Taylor Benzin | Rehabilitation Counselor | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902330 | Ellory Marie Roberts | Physical Therapist | 3065 Southwestern Blvd Ste. 108, Orchard Park Progressive Physical Therapy At Parkland P, Orchard Park, NY 14127 | 2020-11-03 |
| 1821649377 | Jeannine Ann Haak | Occupational Therapy Assistant | 6455 West Quaker Street, Orchard Park, NY 14127 | 2019-09-26 |
| 1578038147 | Cody Adam Barber | Counselor | 3176 Abbot Rd, Building A, Suite 500, Orchard Park, NY 14127 | 2018-10-09 |
| 1922522259 | Mikaela Rose Ditonto | Emergency Medical Technician, Basic | 7 Woodbine Ct., Orchard Park, NY 14127 | 2017-07-28 |
| 1770007098 | Mary C Daley | Psychologist | 196 Stonehenge Dr., Orchard Park, NY 14127 | 2017-07-28 |
| 1346762960 | Michael James Robb | Counselor | 3176 Abbott Rd., Bldg A. Suite 500, Orchard Park, NY 14127 | 2017-07-14 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1376096057 | Joshua E Weeks | Physician Assistant | 3671 Southwestern Blvd St 101, Suite 101, Orchard Park, NY 14127 | 2016-07-28 |
| 1922400746 | Anton Alisankus | Counselor | 272 Thorn Ave, Orchard Park, NY 14127 | 2014-09-24 |
| 1912324393 | Luke Lennox | Dermatology | 3900 N Buffalost, Williamsville, NY 14127 | 2014-03-24 |
| Find all providers in zip 14127 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710586375 | Blair Joseph Rogers | Peer Specialist | 3176 Abbott Rd Unit 500, Orchard Park, NY 14127-1069 | 2020-10-23 |
| 1518432392 | Alexis Brooke Andrews | Peer Specialist | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-10-09 |
| 1104301845 | Christopher James Warden | Peer Specialist | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-09-28 |
| 1053806828 | Christopher J Treacy | Peer Specialist | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-06-25 |
| 1154813020 | Michelle Susan Scheib | Peer Specialist | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-06-05 |
| 1902394760 | David Edgerton | Peer Specialist | 3176 Abbott Rd Ste 500, Orchard Park, NY 14127-1069 | 2018-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| Find all providers with the same taxonomy | ||||
| City | ORCHARD PARK |
| Zip Code | 14127 |
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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.