CARL RANDOLPH RANDOLPH (NPI# 1215033980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215033980 |
| Entity Type | Individual |
| Full Name | CARL RANDOLPH RANDOLPH |
| Credential | ATC |
| Practice Address |
1701 27th St E Bradenton FL 34208-7831 |
| Mailing Address |
11493 Walden Loop Parrish FL 34219-7569 |
| Practice Telephone | 9417473031 |
| Mailing Telephone | 9417769903 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 539 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699123414 | Carl Randolph | Counselor | 10234 Bedrock River Ct, Las Vegas, NV 89178-6514 | 2016-06-02 |
| Street Address |
1701 27TH ST E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851753685 | Tyler Brooks | Physical Medicine & Rehabilitation | 1701 27th St E, Bradenton, FL 34208-7831 | 2016-03-22 |
| 1497142764 | Victor Jonathan Silva IIi | Specialist/Technologist | 1701 27th St E, Bradenton, FL 34208 | 2015-04-23 |
| 1245620566 | Justin Ahrens | Specialist/Technologist | 1701 27th St E, Bradenton, FL 34208-7831 | 2015-01-26 |
| 1407999568 | Erwin Benedict Valencia | Specialist/Technologist | 1701 27th St E, Bradenton, FL 34208-7831 | 2007-02-15 |
| 1336296268 | Jose Julian Ministral | Specialist/Technologist | 1701 27th St E, Bradenton, FL 34208-7831 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710454707 | Mikayla Nicole Owen | Specialist/Technologist | 4504 Useppa Dr, Bradenton, FL 34203-3139 | 2018-10-27 |
| 1316432859 | Denali Marie Schappacher | Specialist/Technologist | 14835 7th Ave E, Bradenton, FL 34212-2903 | 2018-06-27 |
| 1750871174 | Justin Douglas Peters | Specialist/Technologist | 6130 39th Ct E, Bradenton, FL 34203-7002 | 2018-05-10 |
| 1134635063 | Heather Hodges | Specialist/Technologist | 315 41st St W, Bradenton, FL 34209-2943 | 2017-12-14 |
| 1962912881 | Armer Alcorn | Specialist/Technologist | 5650 Bollettieri Blvd, Bradenton, FL 34210 | 2017-10-05 |
| 1891960837 | Matthew Louis Ennis | Specialist/Technologist | 5840 26th St W, Bradenton, FL 34207-3522 | 2008-04-29 |
| 1902094642 | Christopher Brian Blank | Specialist/Technologist | 5500 Lakewood Ranch Blvd, Bradenton, FL 34211-2100 | 2007-10-09 |
| 1164552295 | Charles John Reda Jr. | Specialist/Technologist | 9511 59th Ave E, Bradenton, FL 34202-9680 | 2007-03-07 |
| 1114903853 | Marcus Alan Holliday | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2005-12-15 |
| 1750929816 | Kaitlyn Deshaies | Specialist/Technologist | 5500 34th St W, Bradenton, FL 34210-3506 | 2019-12-19 |
| Find all providers in BRADENTON | ||||
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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.