CRISTINA MARIE RANDALL (NPI# 1487297503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487297503 |
| Entity Type | Individual |
| Full Name | CRISTINA MARIE RANDALL |
| Credential | ME |
| Practice Address |
128 E Olin Ave Ste 201 Madison WI 53713-1467 |
| Mailing Address |
622 S Main St Oregon WI 53575-3201 |
| Practice Telephone | 6082343727 |
| Mailing Telephone | 5295767876 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
128 E OLIN AVE STE 201 |
| City | MADISON |
| State | WI |
| Zip Code | 53713-1467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497268817 | Imagine A Childs Capacity LLC | Community/Behavioral Health | 128 E Olin Ave Ste 201, Madison, WI 53713-1467 | 2017-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508406760 | Diana Kay Woodruff | Registered Nurse | Madison West Comprehensive Treatment Center, 151 E. Badger Rd. Suite A, Madison, WI 53713 | 2020-01-15 |
| 1568008886 | Avery Reven Kansteiner | Counselor | 105 Ski Court, Madison, WI 53713 | 2019-11-21 |
| 1518501329 | Erica D Anderson | Counselor | 1125 W Badger Rd Apt 6, Madison, WI 53713 | 2019-11-05 |
| 1942799739 | Emily Natera | Counselor | 128 E. Olin Ave., Ste. 100, Madison, WI 53713 | 2018-05-07 |
| 1295255644 | Renee Denise Wilberg | Counselor | 122 E. Olin Avenue, Madison, WI 53713 | 2017-06-26 |
| 1548793060 | Racquel Williams-kroll | Registered Nurse | 151 East Badger Road Ste A, Madison, WI 53713 | 2017-04-11 |
| 1124570841 | Shirley Norman-johnson | Licensed Practical Nurse | 115 East Badger Rd, Suite A, Madison, WI 53713 | 2016-10-28 |
| 1629525613 | Katherine Simons Melde | Nurse Practitioner | 2222 S Park St Ste 210, Madison, WI 53713 | 2016-09-07 |
| 1013301779 | Bio-medical Applications of Wisconsin, Inc. | Clinic/Center | 2840 Index Rd., Madison, WI 53713 | 2015-03-20 |
| 1902147721 | Jill Zimmerman | Occupational Therapy Assistant | 2801 Coho Street, Suite 300, Madison, WI 53713 | 2013-03-04 |
| Find all providers in zip 53713 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171013 | Nicole Maynor | Specialist | 1 Avenue C Ste 110, Madison, WV 25130-1100 | 2020-07-21 |
| 1043835440 | Michael Dale Shoultz | Specialist | 2622 Hoard St, Madison, WI 53704-4827 | 2020-06-11 |
| 1790227627 | Mississippi Center for Advanced Medicine, PC | Specialist | 7731 Old Canton Rd, Suite B, Madison, MS 39110-6114 | 2016-11-09 |
| 1558713776 | David H. Morgan, M.d. | Specialist | 8371 Highway 72 W Ste 202, Madison, AL 35758-9505 | 2016-07-12 |
| 1104297274 | Andrea Renee Keapproth | Specialist | 433 W Washington Ave, Madison, WI 53703-3482 | 2015-10-14 |
| 1518209717 | Jessica Lee Boggs | Specialist | 7878 Big Sky Dr Ste H4, Madison, WI 53719-4984 | 2013-03-26 |
| 1740538305 | Amber J Thompson | Specialist | 8202 Excelisor Dr, Madison, WI 53717 | 2012-08-29 |
| 1194084939 | Linda Alanen | Specialist | 113 Quaker Cir, Madison, WI 53716-1643 | 2012-05-14 |
| 1538434782 | Deborah Ann Bachmann | Specialist | 2330 Willard Ave, Madison, WI 53704-5644 | 2012-03-20 |
| 1174843338 | Jonathan Morse | Specialist | 1901 Mckenna Blvd, #2, Madison, WI 53711-6318 | 2010-06-10 |
| Find all providers in MADISON | ||||
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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.