MARY RANDOLPH (NPI# 1396005443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396005443 |
| Entity Type | Individual |
| Full Name | MARY RANDOLPH |
| Credential | RN |
| Practice Address |
497 West 4th Street Dove Creek CO 81324-0368 |
| Mailing Address |
Po Box 368 Dove Creek CO 81324-0368 |
| Practice Telephone | 9706772387 |
| Practice Fax Number | 9706772948 |
| Mailing Telephone | 9706772387 |
| Mailing Fax Number | 9706772948 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
115016 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720246937 | Mary Randolph | Nurse Practitioner | 3826 Bayshore Rd, N Cape May, NJ 08204-3208 | 2008-05-26 |
| 1841203023 | Mary Kay Randolph | Family Medicine | 4505 Nw Fielding Rd, Topeka, KS 66618-2651 | 2006-08-15 |
| Street Address |
497 WEST 4TH STREET |
| City | DOVE CREEK |
| State | CO |
| Zip Code | 81324-0368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780106393 | Jordan Val Kofoed | Dentist | 495 West 4th Street, Dove Creek, CO 81324 | 2017-07-14 |
| 1932598273 | Janet Lowe | Dental Hygienist | 495 West Forth Street, Dolores County Health Associatio, Dove Creek, CO 81324 | 2015-01-09 |
| 1174772073 | Dolores County Commissioners | Public Health or Welfare | 425 North Main Street, Suite A, Dove Creek, CO 81324 | 2008-09-16 |
| 1801926530 | Dolores County School District Re No.2 | Local Education Agency (LEA) | 108 Highway 491, Dove Creek, CO 81324 | 2007-03-06 |
| 1831292176 | Dolores County Social Services | Ambulance | 409 North Main, Dove Creek, CO 81324 | 2006-09-05 |
| 1437143138 | Jennifer Albin | Occupational Therapist | 121 Hwy 491 West, Dove Creek, CO 81324 | 2005-09-08 |
| 1952897225 | Dove Creek Ambulance District | Ambulance | 222 S Guyrene St, Dove Creek, CO 81324-0285 | 2018-07-10 |
| 1457616278 | Dustin Lee Patrick | Dentist | 495 W. 4th Street, Dove Creek, CO 81324-0576 | 2012-07-09 |
| 1710954433 | Dolores County Health Association | Clinic/Center | 495 W 4th St, Dove Creek, CO 81324-0576 | 2006-03-01 |
| 1932268000 | Mark A. Schwartz | Physician Assistant | 495 W 4th St, Dove Creek, CO 81324-0576 | 2006-12-06 |
| Find all providers in zip 81324 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801360367 | Rejane Gabriella Branch | Registered Nurse | 19448 E 59th Ave, Aurora, CO 80019-2009 | 2019-01-17 |
| 1629582952 | Yeong Richardson | Registered Nurse | 2060 S Havana St, Aurora, CO 80014-1014 | 2017-11-22 |
| 1114462421 | Tamera Ruschelle Martin | Registered Nurse | 16352 Parkside Dr, Parker, CO 80134-3742 | 2016-12-21 |
| 1720438963 | Lisa Carroll Wagoner | Registered Nurse | 5444 Fullerton Cir, Highlands Ranch, CO 80130-6642 | 2016-06-19 |
| 1588055487 | Cheryl Read | Registered Nurse | 15690 Akron St, Brighton, CO 80602-8682 | 2015-02-12 |
| 1972859387 | Cheryl Maybelle Curtis | Registered Nurse | 19814 E Greenwood Dr, Aurora, CO 80013-3709 | 2012-08-03 |
| 1487975025 | Lisa M Kane | Registered Nurse | 12660 Esperanza Ct, Castle Rock, CO 80108-8161 | 2010-06-17 |
| 1104140433 | Marcie Dawn Cooper | Registered Nurse | 2264 Castlegate Dr N, Apt 731, Castle Rock, CO 80108-8340 | 2010-03-15 |
| 1962732545 | Lucille A. Fitzharris | Registered Nurse | 3167 S Vine Ct, Englewood, CO 80113-3070 | 2010-01-05 |
| 1659403996 | Jacqueline Marie Brown | Registered Nurse | 100 Kendall Dr, Lamar, CO 81052-3901 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
| City | DOVE CREEK |
| Zip Code | 81324 |
Please comment or provide details below to improve the information on MARY RANDOLPH.
| 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.