SHANITTA ANTALLESHIA RANDOLPH


Address: 1709 Bragaw St, Anchorage, AK 99508-3436
Phone: 9073462101

SHANITTA ANTALLESHIA RANDOLPH (NPI# 1699372359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699372359
Entity Type Individual
Full Name SHANITTA ANTALLESHIA RANDOLPH
Practice Address 1709 Bragaw St
Anchorage
AK 99508-3436
Mailing Address 6800 E 12th Ave
Anchorage
AK 99504-1832
Practice Telephone 9073462101
Mailing Telephone 9073100769
Enumeration Date 2020-10-06
Last Update Date 2020-10-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Office Location

Street Address 1709 BRAGAW ST
City ANCHORAGE
State AK
Zip Code 99508-3436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033263439 Michael D Robertson Psychiatry & Neurology 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 2007-01-22
1780284984 Juita Iamayia Johnson Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-27
1942809561 Brittany Irby Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-23
1932707163 Helen Eve Griese-bravo Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-09
1215534581 Samantha Gray Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-08
1053918631 Juita Johnson Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-06
1861099657 Diane Murray Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-05
1548867674 Leola Luciel Flowers X Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-10-01
1629685888 Evelyn Castillo Kelleher Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-09-30
1164039962 Michelle Laws Counselor 1709 Bragaw St, Anchorage, AK 99508-3436 2020-09-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366063349 Alexandra L Davis Student in an Organized Health Care Education/Training Program 1202 E 36th Ave, Anchorage, AK 99508 2020-05-01
1366087108 The Salvation Army, A California Corporation Community/Behavioral Health 3600 East 20th Avenue, Anchorage, AK 99508 2019-11-15
1679120349 Kila Gilcart Speech-Language Pathologist 161 Klevin Street #103, Anchorage, AK 99508 2019-08-19
1326692963 Shannon Maillet Behavior Technician 1650 S Bragaw, Anchorage, AK 99508 2019-07-31
1427602044 Frank Harris Lawson Iv Behavior Technician 1650 S. Bragaw, Anchorage, AK 99508 2019-07-31
1104470723 Vivalesi Seforosa Nair Behavior Technician 1650 South Bragaw, Anchorage, AK 99508 2019-07-31
1043864267 The Cozy Chalet Assisted Living Home LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3707 Mt Blanc Circle, Anchorage, AK 99508 2019-07-25
1942861778 Christine Mary Hoover Registered Nurse Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 2019-06-24
1215594502 Ashley Ongtowasruk Case Manager/Care Coordinator 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 2019-05-22
1659937019 Rayne Johnson Behavior Technician 4000 San Ernesto Blvd, Anchorage, AK 99508 2019-05-11
Find all providers in zip 99508

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1033710157 Ida Brothers Counselor 2705 W 67th Ave, Anchorage, AK 99502-2222 2020-11-04
1831799287 Martina A Diamond Counselor 3616 Peterkin Ave, Anchorage, AK 99508-1131 2020-10-27
1598362972 Annette F Wilson Counselor 5674 Alora Loop, Anchorage, AK 99504-1050 2020-10-08
1386241917 Jerome Donald Velcheff Counselor 719 Edward St # B, Anchorage, AK 99504-1664 2020-10-06
1386241313 Lori Ann Velcheff Counselor 6800 Howard Ave, Anchorage, AK 99504-1870 2020-10-02
1063019107 Katherine Patricia Jerue Counselor 632 W 15th Ave, Anchorage, AK 99501-5006 2020-10-01
1518584267 Janna Harvey Counselor 2804 W Northern Lights Blvd Ste 280, Anchorage, AK 99517-3300 2020-06-29
1013547306 Samuel Peterson Counselor 4600 Debarr Rd, Anchorage, AK 99508-3103 2020-01-25
1750911335 Brandi Lyn Ropati-hunte Counselor 3406 Seppala Dr Unit B3406, Anchorage, AK 99517-1143 2020-01-22
1538704986 Ashley Locke Counselor 880 H St Ste 201, Anchorage, AK 99501-3450 2019-11-08
Find all providers in ANCHORAGE

Competitor

Search similar providers

City ANCHORAGE
Zip Code 99508

Improve Information

Please comment or provide details below to improve the information on SHANITTA ANTALLESHIA RANDOLPH.

Dataset Information

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.

Trending Searches