RANDY NAYLOR (NPI# 1972558302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972558302 |
| Entity Type | Individual |
| Full Name | RANDY NAYLOR |
| Credential | LICSW, LP |
| Practice Address |
426 West Ave Red Wing MN 55066-2473 |
| Practice Telephone | 6513856180 |
| Practice Fax Number | 6513856195 |
| Mailing Telephone | 6513856180 |
| Mailing Fax Number | 6513856195 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
LP1609 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BX/BS | 61Q73NA | 01 | |
| MN | 247057800 | 05 | |
| AETNA | 5115551 | 01 | |
| PREFERREDONE ADMINISTRATI | 855661013344 | 01 | |
| U-CARE | 117956 | 01 | |
| PREFERRED ONE | 01013344 | 01 | |
| MEDICA | 62-69127 | 01 |
| Street Address |
426 WEST AVE |
| City | RED WING |
| State | MN |
| Zip Code | 55066-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992759468 | County of Goodhue | Clinic/Center | 426 West Ave, Red Wing, MN 55066-2473 | 2006-05-20 |
| 1699220806 | Verna Fricke | Registered Nurse | 426 West Ave, Red Wing, MN 55066-2473 | 2016-08-17 |
| 1710432059 | Bea Haines | Registered Nurse | 426 West Ave, Red Wing, MN 55066-2473 | 2016-08-16 |
| 1376097832 | Krista Early | Registered Nurse | 426 West Ave, Red Wing, MN 55066-2473 | 2016-08-12 |
| 1164892188 | Melissa Ledford | Case Manager/Care Coordinator | 426 West Ave, Red Wing, MN 55066-2473 | 2015-10-02 |
| 1366821985 | Megan O'dell | Case Manager/Care Coordinator | 426 West Ave, Red Wing, MN 55066-2473 | 2015-05-28 |
| 1053737882 | Wendy Erickson | Social Worker | 426 West Ave, Red Wing, MN 55066-2473 | 2014-03-18 |
| 1225477763 | Lillian Eustis | Registered Nurse | 426 West Ave, Red Wing, MN 55066-2473 | 2013-06-18 |
| 1740586304 | Emma Ruth Clynch | Registered Nurse | 426 West Ave, Red Wing, MN 55066-2473 | 2011-01-31 |
| 1669794632 | Barbara J. Simon | Social Worker | 426 West Ave, Red Wing, MN 55066-2473 | 2010-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750850376 | Midwest Transit | Transportation Broker | 217 Plum Street, Suite #220, Red Wing, MN 55066 | 2018-11-14 |
| 1407343221 | Ethos Physical Therapy LLC | Physical Therapist | 2030 Neal St, Redwing, MN 55066 | 2018-04-17 |
| 1255759205 | Brittney Joy Amdahl | Acupuncturist | 201 East Ave., Suite D, Red Wing, MN 55066 | 2014-04-06 |
| 1689807000 | Sarah Jean Haar | Massage Therapist | 416 W. 3rd St., Red Wing, MN 55066 | 2009-09-02 |
| 1437395241 | George Edward Jackish | Internal Medicine | 28089 Bayview Drive, Red Wing, MN 55066 | 2008-12-29 |
| 1750554754 | Jess Brehmer | Orthopaedic Surgery | 701 Hewitt Bvld, Red Wing, MN 55066 | 2008-04-10 |
| 1992825517 | Joseph H. Sevlie | Chiropractor | 1626 W. 3rd St., Red Wing, MN 55066 | 2007-03-29 |
| 1134269392 | City of Red Wing | Ambulance | 315 W 4th St, Red Wing, MN 55066 | 2007-02-07 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1417024217 | Kevin Curtis Smith | Chiropractor | 212 Fulton, Red Wing, MN 55066 | 2006-11-29 |
| Find all providers in zip 55066 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346376282 | Comprehensive Behavioral Health Services, Pa | Psychologist | 2835 S Service Dr Ste 203, Red Wing, MN 55066-1883 | 2007-02-26 |
| 1508920422 | Kathryn Zoff-seivert | Psychologist | 2000 Old West Main, Suite 329, Red Wing, MN 55066-1993 | 2006-12-22 |
| 1225196512 | Kathryn Zoff Seivert Phd Lp Pa | Psychologist | 1751 Reichert Ave, Red Wing, MN 55066 | 2006-12-05 |
| 1265877260 | Jodilynn F Olson | Psychologist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2013-05-03 |
| 1962701375 | Lynda Anne Szymanski | Psychologist | 2835 S Service Dr, Suite 203, Red Wing, MN 55066-1882 | 2011-03-24 |
| 1679874515 | Emily P Sander | Psychologist | 701 Hewitt Blvd, Red Wing, MN 55066 | 2010-11-09 |
| 1710074208 | Gary Edward Hertog | Psychologist | 426 West Ave, Red Wing, MN 55066-2473 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841899291 | Charlotte Mae Gerth Haanen | Psychologist | 2805 Cliff Rd E, Burnsville, MN 55337-4095 | 2020-10-17 |
| 1386251148 | Andrew Charles Weis | Psychologist | 158 Water St N Ste 1, Northfield, MN 55057-2125 | 2020-09-25 |
| 1861008567 | Natalia V Potapova | Psychologist | 701 Park Ave # S1.110, Minneapolis, MN 55415-1623 | 2020-09-17 |
| 1720691884 | Oluwatosin Alabi | Psychologist | 4124 Quebec Ave N Ste 307, New Hope, MN 55427-1241 | 2020-08-28 |
| 1962014167 | Kate Esterline | Psychologist | 2724 University Ave Se Ste B, Minneapolis, MN 55414-3210 | 2020-08-19 |
| 1013528207 | Stephen Sean Jenkins | Psychologist | 720 Fourth Ave. S., Eastman Hall 305, Saint Cloud, MN 56301 | 2020-08-12 |
| 1699392266 | Jacqueline Suresh Layton | Psychologist | 17324 Glencoe Ave, Lakeville, MN 55044-7429 | 2020-06-30 |
| 1760016109 | Cori Miller | Psychologist | 7300 Metro Blvd Ste 400, Edina, MN 55439-2307 | 2020-02-25 |
| 1831722594 | Collaboration for Psychological Wellness, LLC | Psychologist | 12000 Portland Ave Ste 120, Burnsville, MN 55337-4469 | 2020-02-20 |
| 1780214601 | Jennifer Jacqueline Felinski Kurtz | Psychologist | 16688 Kentucky Ave, Lakeville, MN 55044-4616 | 2020-01-20 |
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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.