MS. KIMBERLY T RANDOLPH (NPI# 1457788671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457788671 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY T RANDOLPH |
| Credential | ARNP-C |
| Practice Address |
6919 N Dale Mabry Hwy Ste 300 Tampa FL 33614-3972 |
| Practice Telephone | 8139353221 |
| Practice Fax Number | 8139338149 |
| Mailing Telephone | 8139353221 |
| Mailing Fax Number | 8139338149 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP9318390 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073004842 | Kimberly Lee Randolph | Nurse Practitioner | 2205 Beltline Rd Sw, Decatur, AL 35601-3617 | 2018-05-28 |
| 1801333182 | Kimberly Randolph | Counselor | 10001 Lake Forest Blvd, Suit 404, New Orleans, LA 70127-6200 | 2017-01-25 |
| 1013387315 | Kimberly Randolph | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2015-09-29 |
| 1144544982 | Kimberly M Randolph | Nurse Practitioner | 3568 Chere Carol Rd, Humboldt, TN 38343-3639 | 2010-03-23 |
| Street Address |
6919 N DALE MABRY HWY STE 300 |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-3972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477021764 | Robert Frederick Warburton | Nurse Practitioner | 6919 N Dale Mabry Hwy Ste 300, Tampa, FL 33614-3972 | 2018-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157669 | Lotaya Anneka Hinds | Nurse Practitioner | 2105 E 115th Ave, Tampa, FL 33612-6121 | 2020-09-03 |
| 1821608324 | Racquel Creus | Nurse Practitioner | 20530 Colonial Isle Dr Unit 202, Tampa, FL 33647-3701 | 2020-08-09 |
| 1295360717 | Geni Horne | Nurse Practitioner | 931 Balaye Ridge Cir Apt 301, Tampa, FL 33619-5093 | 2020-03-04 |
| 1669006748 | Andrea Barnett | Nurse Practitioner | 3133 W Villa Rosa St, Tampa, FL 33611-2943 | 2020-02-27 |
| 1679104566 | Chinwe Ifeyinwa Iloanya | Nurse Practitioner | 4603 River Hills Dr, Tampa, FL 33617-6921 | 2020-01-29 |
| 1598231789 | Christee Elan Bond | Nurse Practitioner | 4809 N Armenia Ave Ste 210, Tampa, FL 33603-1425 | 2018-10-16 |
| 1609378991 | Randolph Diabetes and Wellness LLC | Nurse Practitioner | 8017 Savannah Sunset Ln, Tampa, FL 33615-1388 | 2018-03-02 |
| 1912407628 | Jonathan D Pope | Nurse Practitioner | 2708 N 22nd St, Tampa, FL 33605-2760 | 2018-02-19 |
| 1639607732 | Jackie Dale Hatten Jr. | Nurse Practitioner | 500 N West Shore Blvd Ste 635, Tampa, FL 33609-1910 | 2017-06-01 |
| 1629519814 | Kristen Hanenian | Nurse Practitioner | 4905 W Laurel St, Suite 200, Tampa, FL 33607-3834 | 2017-03-20 |
| Find all providers in TAMPA | ||||
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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.