TYREEKA RANDOLPH (NPI# 1992216329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992216329 |
| Entity Type | Individual |
| Full Name | TYREEKA RANDOLPH |
| Practice Address |
2803 Old North Hills St Meridian MS 39305-1630 |
| Mailing Address |
2525 Youree Dr Ste 100 Shreveport LA 71104-3600 |
| Practice Telephone | 6014903271 |
| Mailing Telephone | 6014903271 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
2803 OLD NORTH HILLS ST |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154845014 | Camesha Mckinnis | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-08-01 |
| 1992346274 | Jacquelynne Teauna Lockett | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-10-08 |
| 1164071734 | James M Brock | Peer Specialist | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-09-06 |
| 1669025557 | Pamela Drummond | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2019-07-19 |
| 1669942827 | Ashley Rue | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-11-30 |
| 1134694862 | Brierra Keyonna Smith | Social Worker | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1245705987 | Tyrikia Nicholle Porter | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-10-09 |
| 1356821391 | Porchia Powe | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-08-20 |
| 1427566504 | Phyllis Felishaona Dean | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2018-01-11 |
| 1164931556 | Annitnette Mcgill | Counselor | 2803 Old North Hills St, Meridian, MS 39305-1630 | 2017-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821697749 | Ashley Weiss | Social Worker | 973 S Brook Trout Way, Meridian, ID 83642-7745 | 2020-10-21 |
| 1962019513 | Jessica Rose Crocker-oswald | Social Worker | 13 E Ada Ave, Meridian, ID 83642-2725 | 2020-09-28 |
| 1578034690 | Alexis Staeb | Social Worker | 3023 E Copper Point Dr Ste 105, Meridian, ID 83642-9290 | 2018-12-16 |
| 1730697111 | Brittany A Baker | Social Worker | 1944 Old Wire Rd, Meridian, MS 39301-8321 | 2018-01-18 |
| 1386155810 | Caitlin Elizabeth Lanier | Social Worker | 1833 S Millenium Way, Meridian, ID 83642-1510 | 2017-10-24 |
| 1841716511 | June Ellen Boucher | Social Worker | 1287 E Drucker St, Meridian, ID 83642-4031 | 2017-08-15 |
| 1639605694 | Joshua Randall Grade | Social Worker | 1322 W Verbena Dr, Meridian, ID 83642-1238 | 2017-05-11 |
| 1417333469 | Jennifer Kopec | Social Worker | 2825 S Meridian Rd Ste 150, Meridian, ID 83642-7960 | 2015-07-31 |
| 1265838601 | Amanda Sue Helsley | Social Worker | 3525 E. Louise Dr. Suite 500, Meridian, ID 83642 | 2014-11-12 |
| 1912307737 | Stephanie Abney | Social Worker | 524 E Havasu Falls St, Meridian, ID 83646-6397 | 2014-08-28 |
| Find all providers in MERIDIAN | ||||
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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.