LISA HYDILYA RANDOLPH (NPI# 1831418771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831418771 |
| Entity Type | Individual |
| Full Name | LISA HYDILYA RANDOLPH |
| Practice Address |
1923 State St Harrisburg PA 17103-1641 |
| Practice Telephone | 7176959808 |
| Mailing Telephone | 7176959808 |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2010-05-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
PA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811445729 | Lisa Randolph | Counselor | 8576 Veterans Memorial Pkwy, O Fallon, MO 63366-3080 | 2016-09-20 |
| 1336538123 | Lisa Randolph | Marriage & Family Therapist | 7121 Grand Prairie Dr, Colorado Springs, CO 80923-8763 | 2015-01-15 |
| 1447572466 | Lisa Randolph | Physician Assistant | 408 Crain Hwy S Ste 7, Glen Burnie, MD 21061-3661 | 2010-02-17 |
| 1114393279 | Lisa Randolph | Nurse Practitioner | 1010 Murray Ave, San Luis Obispo, CA 93405-1806 | 2015-08-12 |
| Street Address |
1923 STATE ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17103-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1679892988 | Judith Ann Mccrea | Social Worker | 2318 Walnut Street, Harrisburg, PA 17103 | 2010-05-26 |
| 1972621597 | Pennsylvania Department of Public Welfare | Psychiatric Hospital | Cameron and Maclay, Dpw Bfo Ros, Harrisburg, PA 17103 | 2007-03-26 |
| 1205967759 | Daystar Center for Spiritual Recovery | Substance Abuse Rehabilitation Facility | 125 N. 18th St., Harrisburg, PA 17103 | 2007-03-08 |
| 1851573794 | Angela Lynn Miller | Counselor | 1 Greystone Rd, Carlisle, PA 17103 | 2007-12-03 |
| 1215125943 | Jonise Mcdaniel | Dentist | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2007-10-09 |
| 1558531749 | Hamilton Health Center@ Downey | Clinic/Center | 1313 Monroe St, Harrisburg, PA 17103-1139 | 2008-03-04 |
| 1063870004 | Jessica M Johnson | Registered Nurse | 228 N 14th St, Harrisburg, PA 17103-1305 | 2016-02-05 |
| 1053710814 | Miracle Group Inc | Community/Behavioral Health | 1800 State St, Harrisburg, PA 17103-1551 | 2014-08-18 |
| 1710170881 | Rejoice Inc. | Supports Brokerage | 1800 State St, Harrisburg, PA 17103-1551 | 2007-08-22 |
| Find all providers in zip 17103 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235689878 | Alyce Wooten | Specialist | 1308 N 3rd St, Harrisburg, PA 17102-1969 | 2016-10-06 |
| 1639613185 | Alyce & Tre'sures Hair Gallery | Specialist | 1308 N 3rd St, Harrisburg, PA 17102-1969 | 2016-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583986 | Shayla Foreman | Specialist | 4237 Murray Ave, Pittsburgh, PA 15217-2903 | 2020-09-21 |
| 1386269264 | Sharon Mayes | Specialist | 2135 Walnut St, Philadelphia, PA 19103-4442 | 2020-06-16 |
| 1750903431 | Katherine Anne Fagan | Specialist | 2428 Setter Run Ln, State College, PA 16801-2577 | 2020-05-15 |
| 1649827411 | Tania Hawkins | Specialist | 5744 Baum Blouvard, Shadyside, PA 15206 | 2019-08-26 |
| 1134785801 | Michelle Leonard | Specialist | 302 Jefferson Dr, Malvern, PA 19355-3113 | 2019-05-17 |
| 1164948600 | Arthur James Wells IIi | Specialist | 2035 Chestnut Street, Apt. 408 1st Floor, Philadelphia, PA 19103-0076 | 2017-08-16 |
| 1316339492 | Angelina Geiger | Specialist | 7558 Haverford Ave, Philadelphia, PA 19151-2111 | 2015-02-25 |
| 1831517952 | Paula Nadine Kenner | Specialist | 1316 Englewood St, Philadelphia, PA 19111-4223 | 2014-04-05 |
| 1255754776 | Sabriyah Noel | Specialist | 326 S 56 St, Philadelphia, PA 19143 | 2014-02-04 |
| 1639303399 | Emilio M. Socci | Specialist | 1050 Fairmont Drive, Quakertown, PA 18951-2619 | 2009-05-11 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17103 |
Please comment or provide details below to improve the information on LISA HYDILYA 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.