ROBERTA JEAN RANDALL (NPI# 1386291003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386291003 |
| Entity Type | Individual |
| Full Name | ROBERTA JEAN RANDALL |
| Practice Address |
1165 Airport Blvd Austin TX 78702-3152 |
| Mailing Address |
1430 Collier St Austin TX 78704-2911 |
| Practice Telephone | 5127031365 |
| Practice Fax Number | 5128043457 |
| Mailing Telephone | 5124404096 |
| Mailing Fax Number | 5124404082 |
| Enumeration Date | 2019-08-19 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | 232327 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093146201 | Roberta Randall | Dietitian, Registered | 365 S Crown Hill Rd, Orrville, OH 44667-9527 | 2013-12-13 |
| Street Address |
1165 AIRPORT BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78702-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558571489 | Joan Cook Chapmond | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2007-05-22 |
| 1174121594 | Jason Henderson | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-10-16 |
| 1588278667 | Magnolia Deloise Cavanaugh | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-09-04 |
| 1609401173 | Sidney Douglas | Social Worker | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-03-05 |
| 1861024937 | Samantha Josephine Montemayor | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2020-02-06 |
| 1477196012 | Jeremy Matthew Smiddy | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-10-27 |
| 1609422385 | Stephanie L Virata | Licensed Vocational Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-08-17 |
| 1992358154 | Trenton Ray Turner | Counselor | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-07-17 |
| 1396304143 | Stephen Morocco | Nurse Practitioner | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-06-06 |
| 1043771504 | Jennifer M Ozzello | Registered Nurse | 1165 Airport Blvd, Austin, TX 78702-3152 | 2019-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207171 | Enamel Dentistry Saltillo, Pllc | Clinic/Center | 901 E. 5th Street, Suite 170, Austin, TX 78702 | 2019-07-22 |
| 1730678616 | Marci Lawson | Counselor | 1103 Cherico St Unit 3, Austin, TX 78702 | 2018-05-06 |
| 1730608340 | Gloria Robertson Hatfield | Social Worker | 501 N I-35, Ste 112, Austin, TX 78702 | 2017-09-14 |
| 1083063168 | Nona Mason | Nurse Practitioner | Ascension Seton Mccarthy Community Health Center, 2811 East 2nd Street, Austin, TX 78702 | 2016-06-08 |
| 1124487467 | Sarah Beth Mclaughlin | Social Worker | 1631 E. 2nd St., Bldg. E, Austin, TX 78702 | 2016-02-15 |
| 1972969590 | Austin Mind Body | Counselor | 905 E. 5th Street, Suite 102, Austin, TX 78702 | 2016-01-12 |
| 1972976777 | Stacy Griffin | Social Worker | 1631 E. 2nd Street, Austin, TX 78702 | 2015-11-03 |
| 1396111894 | Jocelyn Jarmon | Health Maintenance Organization | 1803 Ulit Avenue, Austin, TX 78702 | 2015-08-19 |
| 1396142972 | Jillessa Fiorillo | Social Worker | 1631-d East 2nd Street, Austin, TX 78702 | 2014-11-26 |
| 1518390962 | Emily Anna Murray | Physical Therapist | 1621 E 6th St # 11488, Austin, TX 78702 | 2013-08-20 |
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| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393308 | Yahira Aleman | Licensed Vocational Nurse | 10705 Casitas Dr, Austin, TX 78717-3872 | 2020-03-28 |
| 1245882810 | Shirley Jean Graves | Licensed Vocational Nurse | 401 S Park Dr, Austin, TX 78704-6346 | 2019-07-12 |
| 1457810558 | Bianca Danielle Brown | Licensed Vocational Nurse | 810 E Slaughter Ln Apt 11204, Austin, TX 78744-2139 | 2019-03-18 |
| 1174097059 | Amy Lynn Macafee | Licensed Vocational Nurse | 3737 Executive Center Dr Ste 250, Austin, TX 78731-1640 | 2019-01-14 |
| 1326513664 | Joseph Guptil Connors IIi | Licensed Vocational Nurse | 7409 Cedar Edge Dr, Austin, TX 78744-1705 | 2018-10-12 |
| 1881179240 | Clara Luz Loza | Licensed Vocational Nurse | 1165 Airport Blvd Fl 2, Austin, TX 78702-3152 | 2018-10-01 |
| 1922581693 | Beauty Uzoma Achonye | Licensed Vocational Nurse | 11024 Cairnhill Ct, Austin, TX 78754-2162 | 2018-09-10 |
| 1750862629 | Purity Thande Nash | Licensed Vocational Nurse | 11312 Barns Trl, Austin, TX 78754-6049 | 2018-08-28 |
| 1801377791 | Claudia Yanira Mireles | Licensed Vocational Nurse | 12041 Dessau Rd Apt 809, Austin, TX 78754-1710 | 2018-08-28 |
| 1720569635 | Shari Wright | Licensed Vocational Nurse | 12349 Metric Blvs # 425, Austin, TX 78758 | 2018-08-28 |
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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.