ANNETTE RANDLEMON (NPI# 1366468159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366468159 |
| Entity Type | Individual |
| Full Name | ANNETTE RANDLEMON |
| Credential | CNP |
| Practice Address |
2300 E 30th St Bldg B, Suite 102 Farmington NM 87401-8990 |
| Mailing Address |
2017 Sierra Ave Aztec NM 87410-1540 |
| Practice Telephone | 5053241000 |
| Practice Fax Number | 5053241199 |
| Mailing Telephone | 5053346896 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R25038 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN | 201016092 | 01 |
| NM | CIGNA | 850462631 | 01 |
| NM | BLUE CROSS | NM006F13 | 01 |
| CLIA | 32D0943693 | 01 | |
| NM | EMC | 400521029 | 01 |
| NM | STATE ID | 850462631 | 01 |
| NM | S3309 | 05 | |
| NM | LOVELACE SALUD | 10002777 | 01 |
| Street Address |
2300 E 30TH ST BLDG B, SUITE 102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677791 | Joseph Perry Pope | Family Medicine | 2300 E 30th St, Bldg B, Farmington, NM 87401-8990 | 2005-05-23 |
| 1851751432 | Keith Maxwell Bull | Nurse Anesthetist, Certified Registered | 2300 E 30th St, Building A, Farmington, NM 87401-8990 | 2016-02-25 |
| 1861745945 | Melissa Lea-foster Rietz | Nurse Practitioner | 2300 E 30th St, Ste C2, Farmington, NM 87401-8991 | 2012-10-26 |
| 1922308782 | Craig Burgess | Pharmacist | 2300 E 30th St, Farmington, NM 87401-8990 | 2010-10-27 |
| 1912139452 | Richard Louis Hutchison, Md, PC | Plastic Surgery | 2300 E 30th St, Building B, Suite 103, Farmington, NM 87401-8990 | 2009-08-18 |
| 1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
| 1710190350 | Adult & Pediatric Urology, LLC | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2007-05-08 |
| 1851412829 | Brett M. Clarke | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2007-04-03 |
| 1528141843 | San Juan Regional Medical Center Inc | Psychiatry & Neurology | 2300 E 30th St, Building 102, Farmington, NM 87401-8990 | 2006-10-23 |
| 1265527642 | R Stephen Rankin | Pediatrics | 2300 E 30th St, Bldg C2, Farmington, NM 87401-8990 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1356957179 | Jared Kunz | Nurse Practitioner | 635 Braning Dr, Farmington, MO 63640-7783 | 2020-09-17 |
| 1700427382 | Jessinna Nielson | Nurse Practitioner | 722 Shepard Ln Ste 102, Farmington, UT 84025-3845 | 2019-10-04 |
| 1831744200 | Rachelle Andersen Spurlin | Nurse Practitioner | 359 Frontier Rd, Farmington, UT 84025-2613 | 2019-08-02 |
| 1033770698 | Tiffany Otto | Nurse Practitioner | 27o Farmington Avenue, # 309, Farmington, CT 06032 | 2019-06-25 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1235627936 | Swayzee Lei Ramage | Nurse Practitioner | 4801 N Butler Ave Ste 8102, Farmington, NM 87401-0818 | 2018-04-27 |
| 1306345368 | Joy Wolfe | Nurse Practitioner | 850 Maple Valley Drive, Farmington, MO 63640 | 2018-02-06 |
| 1518482769 | Million B Mesfun | Nurse Practitioner | 4405 Atlantic St, Farmington, NM 87402-1750 | 2017-08-09 |
| 1568912129 | Kelly M Roberts | Nurse Practitioner | 555 W Pine Street, Farmington, MO 63640 | 2016-10-07 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ANNETTE RANDLEMON.
| 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.