ELIZABETH A RANDALL (NPI# 1447774567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447774567 |
| Entity Type | Individual |
| Full Name | ELIZABETH A RANDALL |
| Practice Address |
403 Stony Landing Rd Moncks Corner SC 29461-3967 |
| Practice Telephone | (843) 761-8282 |
| Practice Fax Number | 8437617308 |
| Mailing Telephone | 8437618282 |
| Mailing Fax Number | 8437617308 |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
7573 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE PIN | 3348 | 01 |
| SC | 435201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235633447 | Elizabeth Randall | Counselor | 6176 Sheridan Dr, Buffalo, NY 14221-4812 | 2018-03-21 |
| 1144846502 | Elizabeth A Randall | Nurse Practitioner | 6846 Buckley Rd, North Syracuse, NY 13212-4275 | 2020-06-22 |
| 1124530902 | Elizabeth Randall | Counselor | 5410 N 44th St, Tacoma, WA 98407-3715 | 2017-11-01 |
| 1548621741 | Elizabeth Ann Randall | Pharmacy Technician | 600 N Wolfe St, Nelson Sb213, Baltimore, MD 21287-0005 | 2016-03-15 |
| 1679940837 | Elizabeth Randall | Counselor | 500 Victory Rd, #19, Quincy, MA 02171-3139 | 2015-08-24 |
| 1942614524 | Elizabeth Randall | Physical Therapy Assistant | 4704 W Diana Ave, Glendale, AZ 85302-5125 | 2014-06-11 |
| 1891042461 | Elizabeth Felts Randall | Dentist | 951 Riverfront Pkwy, Suite 102, Chattanooga, TN 37402-2185 | 2012-08-13 |
| 1285645622 | Elizabeth Cassel Randall | Social Worker | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-08-11 |
| Street Address |
403 STONY LANDING RD |
| City | MONCKS CORNER |
| State | SC |
| Zip Code | 29461-3967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548230220 | Elizabeth Ann Holloway Jensen | Nurse Practitioner | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2006-01-25 |
| 1891301313 | Jennifer Lane Gillespie | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1982210415 | Kelvin Craig Tyler Jr. | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1376159897 | Stephanie Davis-velez | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-09-21 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1679104640 | Kayla B Bennett | Social Worker | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1194356162 | Monique D Stanley | Registered Nurse | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1780221036 | Lydia Stallings | Case Manager/Care Coordinator | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-12-05 |
| 1518501253 | Sarah A Younts | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2019-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982267605 | Berkeley Citizens Inc | Early Intervention Provider Agency | P0 Drawer 429 1301 Old Hwy 52 South, Moncks Corner, SC 29461 | 2019-04-18 |
| 1376015222 | Anthony Johnson | Counselor | 306 Airport Drive, Moncks Corner, SC 29461 | 2018-12-17 |
| 1598243719 | Jana Matthews Chinners | Family Medicine | 2061 Us-52, Moncks Corner, SC 29461 | 2018-07-31 |
| 1285151225 | Nathan Andrew Bostrom | Occupational Therapist | 118 Carolina Avenue, Moncks Corner, SC 29461 | 2017-08-29 |
| 1942730528 | Martina Snider | Specialist | 393 Corner Square Plaza, Moncks Corner, SC 29461 | 2017-06-15 |
| 1104355502 | Mary Elizabeth Perdue | Counselor | 306 Airport Dr., Moncks Corner, SC 29461 | 2017-06-08 |
| 1619390481 | Berkeley Citizens, Inc. | Public Health or Welfare | 1301 Old Hwy. 52 South, Moncks Corner, SC 29461 | 2014-01-29 |
| 1326384082 | Amanda Trueworthy | Counselor | 3156 F South Live Oak Drive, Moncks Corner, SC 29461 | 2012-12-27 |
| 1790040202 | Melanie Mcendree | Community Health Worker | 105 Lobolly Dr., Moncks Corner, SC 29461 | 2012-07-10 |
| 1891093845 | Leslie Erin Blackmon Stelling | Pharmacist | 110 South Highway 52, Moncks Corner, SC 29461 | 2011-02-28 |
| Find all providers in zip 29461 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932583846 | Angela Harvey | Counselor | 531 Birchwood Dr, Moncks Corner, SC 29461-3043 | 2015-07-10 |
| 1568568012 | David Michael Bruhn | Counselor | 100 Gulledge St, Moncks Corner, SC 29461-3747 | 2006-09-15 |
| 1013013473 | Life Enrichment Counseling Center Inc | Counselor | 130 Land O Pines Circle, Moncks Corner, SC 29461 | 2006-09-15 |
| 1619915055 | Elizabeth L Vinson | Counselor | 219 N Highway 52, Ste R, Moncks Corner, SC 29461-3926 | 2006-06-04 |
| 1720699614 | Amy Lynn Watson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-08-13 |
| 1265051569 | Jameka Rembert | Counselor | 402 S Live Oak Dr, Moncks Corner, SC 29461-3550 | 2020-04-16 |
| 1417588484 | Sarah L Oxendine | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2020-01-29 |
| 1710404868 | Sarah R Gerloff | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2017-08-29 |
| 1629592449 | Sherri Ashbee | Counselor | 109 E Main St, Moncks Corner, SC 29461-3764 | 2017-08-02 |
| 1851815989 | Michael A Patterson | Counselor | 403 Stony Landing Rd, Moncks Corner, SC 29461-3967 | 2017-07-31 |
| Find all providers in MONCKS CORNER | ||||
| City | MONCKS CORNER |
| Zip Code | 29461 |
Please comment or provide details below to improve the information on ELIZABETH A RANDALL.
| 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.