MR. RANDY DALE WOODARD (NPI# 1275892234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275892234 |
| Entity Type | Individual |
| Full Name | MR. RANDY DALE WOODARD |
| Credential | LPN |
| Practice Address |
5971 Terrace Park Dr N Unit 108 Saint Petersburg FL 33709-1181 |
| Practice Telephone | 7277428172 |
| Mailing Telephone | 7277428172 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 219819-1 | NY | Nursing Service Providers |
| Y | 164W00000X | Licensed Practical Nurse | PN 5185890 | FL | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033670682 | Randy Woodard | Behavioral Analyst | 401 Main St Ste 15, Amherst, MA 01002-2353 | 2019-03-27 |
| Street Address |
5971 TERRACE PARK DR N UNIT 108 |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33709-1181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674530 | Linda Barnes-bonneau | Licensed Practical Nurse | 4534 13th Ave S, Saint Petersburg, FL 33711-2409 | 2020-06-24 |
| 1538640685 | Southern Oasis Living LLC | Licensed Practical Nurse | 2527 10th Ave S, Saint Petersburg, FL 33712-2021 | 2018-08-27 |
| 1013415330 | Darin Locy | Licensed Practical Nurse | 10840 Poplar St Ne, Saint Petersburg, FL 33716-3308 | 2018-02-01 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| 1588016505 | Alexis Waters Waters | Licensed Practical Nurse | 630 40th St S, Saint Petersburg, FL 33711-1636 | 2016-07-02 |
| 1386014710 | Heaven Ratleff | Licensed Practical Nurse | 11601 4th St N Apt 1605, Saint Petersburg, FL 33716-2742 | 2015-09-28 |
| 1477969665 | Beverly Broadnax | Licensed Practical Nurse | 2814 Edwards Ave S, Saint Petersburg, FL 33705-3653 | 2014-07-08 |
| 1215199732 | Viengchai Kempienski | Licensed Practical Nurse | 2635 37th Ave N, Saint Petersburg, FL 33713-1731 | 2008-06-26 |
| 1356520274 | Shawn Edward Brooks | Licensed Practical Nurse | 5602 59th Way N, Saint Petersburg, FL 33709-1828 | 2007-10-27 |
| 1164958757 | Clear Path Center Pa | Licensed Practical Nurse | 3177 4th St N, Saint Petersburg, FL 33704-2124 | 2017-05-03 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33709 |
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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.