CRYSTAL RANDOLPH (NPI# 1366763104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366763104 |
| Entity Type | Individual |
| Full Name | CRYSTAL RANDOLPH |
| Credential | CCC-SLP |
| Practice Address |
1414 Bray Dr Charlotte NC 28214-1042 |
| Practice Telephone | 2254549872 |
| Mailing Telephone | 2254549872 |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2012-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 8774 | NC | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 5955 | LA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098297 | Crystal Randolph | Case Manager/Care Coordinator | 3084 Westfork Dr Ste C, Baton Rouge, LA 70816-2254 | 2020-09-21 |
| 1811463797 | Crystal A Randolph | Social Worker | 8401 Datapoint Dr Ste 900, San Antonio, TX 78229-5385 | 2018-10-18 |
| Street Address |
1414 BRAY DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28214-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1912481029 | Charlotte Afriyie | Behavior Technician | 2122 Sonoma Valley Drive, Charlotte, NC 28214 | 2018-09-25 |
| 1588161350 | Future Impression | Counselor | 619 Sullivan Street, Charlotte, NC 28214 | 2018-04-09 |
| 1588072326 | Key Choice Counseling | Community/Behavioral Health | 2909 Berry Creek Rd., Charlotte, NC 28214 | 2014-07-24 |
| 1255751699 | Joyce Patterson Melton | Registered Nurse | 7409 Pawtuckett Rd, Charlotte, NC 28214 | 2014-04-24 |
| 1407271109 | Central Carolina Medical Clinic, Pa | Internal Medicine | 515 Little Rock Road, Charlotte, NC 28214 | 2014-03-04 |
| 1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
| 1043569460 | Loretta Massey | Social Worker | 2202 Lisa Carole Drive, Charlotte, NC 28214 | 2012-08-30 |
| Find all providers in zip 28214 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345112 | Good Shepherd Therapy | Speech-Language Pathologist | 10301 Oak Pond Cir, Charlotte, NC 28277-9506 | 2020-10-30 |
| 1922616036 | Mila Therapy Services | Speech-Language Pathologist | 14165 Dunbritton Ln Apt 1312, Charlotte, NC 28277-2452 | 2020-07-15 |
| 1437776309 | Anna Hardison | Speech-Language Pathologist | 9934 Meadowmead Ct, Charlotte, NC 28273-3367 | 2020-06-26 |
| 1063056968 | Susanna Eleanor Wooten | Speech-Language Pathologist | 16147 Lancaster Hwy Ste 130, Charlotte, NC 28277-2051 | 2019-11-04 |
| 1326696345 | Elizabeth Jane Buie | Speech-Language Pathologist | 5928 Winburn Ln, Charlotte, NC 28226-8152 | 2019-09-03 |
| 1053967398 | Marissa Pardini | Speech-Language Pathologist | 101 E Wt Harris Blvd Ste 5100, Charlotte, NC 28262-3485 | 2019-08-13 |
| 1003469008 | Lauren Jane Cownie | Speech-Language Pathologist | 523 Ridgeway Ave Apt 101, Charlotte, NC 28204-0023 | 2019-07-18 |
| 1558914838 | Margaret Thompson Fitzgerald | Speech-Language Pathologist | 1205 S Tryon St Unit 1448, Charlotte, NC 28203-4393 | 2019-07-16 |
| 1386205763 | Alyssa Dudley | Speech-Language Pathologist | 1331 W Morehead St Apt 544, Charlotte, NC 28208-5391 | 2019-06-26 |
| 1992262018 | Katherine Grace Bias | Speech-Language Pathologist | 11709 Freuhaud Dr Ste. 123, Charlotte, NC 28273 | 2019-02-25 |
| Find all providers in CHARLOTTE | ||||
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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.