ALWONDA DESHON RANDOLPH (NPI# 1346808953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346808953 |
| Entity Type | Individual |
| Full Name | ALWONDA DESHON RANDOLPH |
| Practice Address |
9466 Balboa Dr Baton Rouge LA 70810-2315 |
| Practice Telephone | 3185578054 |
| Mailing Telephone | 3185578054 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172A00000X | Driver | Other Service Providers | ||
| Y | 172A00000X | Driver | 007103785 | LA | Other Service Providers |
| Street Address |
9466 BALBOA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70810-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003469933 | Marys Ministry Transportation | Non-emergency Medical Transport (VAN) | 9466 Balboa Dr, Baton Rouge, LA 70810-2315 | 2019-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
| 1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
| 1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
| 1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
| 1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
| 1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
| 1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
| 1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
| 1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
| 1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
| Find all providers in zip 70810 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734999 | Antoinette Carter | Driver | 3931 Hillmont Dr, Baton Rouge, LA 70814-4708 | 2020-09-09 |
| 1952910846 | Patrice Quinette Jackson | Driver | 7274 Modesto Ave, Baton Rouge, LA 70811-4427 | 2020-07-27 |
| 1730707670 | Monica Johnson | Driver | 10018 Sandhill Ct, Baton Rouge, LA 70809-5925 | 2020-07-07 |
| 1780216929 | Roderick Lee Edwards II | Driver | 5724 Benson Dr, Baton Rouge, LA 70812-2603 | 2020-02-05 |
| 1053957431 | Encore Transportation LLC | Driver | 12454 Windermere Oaks Ct, Baton Rouge, LA 70810-0910 | 2019-11-21 |
| 1982269882 | Delvin Coston | Driver | 4445 Noble Cane Dr, Baton Rouge, LA 70814-8042 | 2019-05-06 |
| 1720546112 | Noah Dewayne Johnson Jr. | Driver | 11707 Kingston Dr, Baton Rouge, LA 70807-2066 | 2019-03-05 |
| 1225594146 | Shonda Monique Davis | Driver | 12416 Excalibur Ave, Baton Rouge, LA 70816-2410 | 2019-02-15 |
| 1548724990 | Chauna H Jackson | Driver | 7200 Cypress Lakes Apartment Blvd Apt 601, Baton Rouge, LA 70809-5307 | 2019-01-29 |
| 1215401716 | Reginald Eugene Huff Sr. | Driver | 1724 General Mouton Ave, Baton Rouge, LA 70810-6817 | 2019-01-17 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70810 |
Please comment or provide details below to improve the information on ALWONDA DESHON RANDOLPH.
| 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.