MS. JENNIFER CATHERINE RANDALL (NPI# 1124631908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124631908 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER CATHERINE RANDALL |
| Credential | FNP |
| Practice Address |
1860 Town Center Dr Ste 310 Reston VA 20190-5899 |
| Practice Telephone | 7037389989 |
| Mailing Telephone | 7037389989 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024179577 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371295 | Jennifer Lynn Randall | Behavior Technician | 6338 Bearcat Loop, Colorado Springs, CO 80925-1372 | 2017-12-04 |
| 1104291160 | Jennifer Randall | Physical Therapist | 488 E 11th Ave Ste 150a, Eugene, OR 97401-3601 | 2015-12-02 |
| 1427439942 | Jennifer E Randall | Counselor | 46 Lochoa Dr, Davis, WV 26260-8072 | 2015-06-10 |
| 1881161560 | Jennifer Ann Randall | Physician Assistant | 7 Marsh Brook Dr Ste 205, Somersworth, NH 03878-6523 | 2018-10-31 |
| 1811480650 | Jennifer Jean Randall | Physical Therapist | 403 6th St, Huntingdon, PA 16652-1518 | 2018-06-06 |
| 1831425180 | Jennifer Randall | Internal Medicine | 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368 | 2009-10-21 |
| 1346406501 | Jennifer Randall | Clinical Nurse Specialist | 47 New Scotland Ave, Albany, NY 12208-3412 | 2008-08-06 |
| 1013083294 | Jennifer Lynn Randall | Social Worker | 789 Clapboardtree St, Harbor Counseling Center, Westwood, MA 02090-1717 | 2006-11-28 |
| Street Address |
1860 TOWN CENTER DR STE 310 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326149246 | Chinwe Dorothy John | Physical Medicine & Rehabilitation | 1860 Town Center Dr Ste 310, Reston, VA 20190-5899 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1033736525 | Kathleen Judge Bowie | Nurse Practitioner | 1650 Parkcrest Cir Apt 300, Reston, VA 20190-4941 | 2020-06-30 |
| 1386268613 | Nicole Christine Cash | Nurse Practitioner | 1860 Town Center Dr Ste 150&160, Reston, VA 20190-5896 | 2020-06-02 |
| 1821631748 | Kyler Philbin | Nurse Practitioner | 1850 Town Center Pkwy Ste 314, Reston, VA 20190-3300 | 2019-10-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1578045738 | Alexis Puedan Bergemann | Nurse Practitioner | 1542 Deer Point Way, Reston, VA 20194-1590 | 2018-09-05 |
| 1821500521 | Brittany Beczkiewicz Harris | Nurse Practitioner | 12018 Sunrise Valley Dr Ste 400, Reston, VA 20191-3434 | 2017-11-02 |
| 1568982601 | Stephanie Dean Richards | Nurse Practitioner | 12330 Pinecrest Rd Ste 250, Reston, VA 20191-1657 | 2017-06-20 |
| 1114454196 | Renee Hadeed | Nurse Practitioner | 11800 Sunrise Valley Dr Ste 700, Reston, VA 20191-5315 | 2017-05-22 |
| 1467796177 | William Joseph Cauley Jr. | Nurse Practitioner | 1109 Saffold Way, Us Government Employee, Reston, VA 20190-3816 | 2012-11-19 |
| Find all providers in RESTON | ||||
Please comment or provide details below to improve the information on MS. JENNIFER CATHERINE RANDALL.
| 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.