JENNIFER LYNN RANDOLPH (NPI# 1558559393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558559393 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN RANDOLPH |
| Credential | CRNA |
| Practice Address |
1800 Medical Center Pkwy Suite 330 Murfreesboro TN 37129-2567 |
| Mailing Address |
Po Box 1252 Murfreesboro TN 37133-1252 |
| Practice Telephone | 6153964464 |
| Practice Fax Number | 6153966748 |
| Mailing Telephone | 6153964464 |
| Mailing Fax Number | 6153966748 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2010-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN139779 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3600189 | 05 | |
| BLUE CROSS BLUE SHIELD | 4177349 | 01 | |
| TN | RAIL ROAD MEDICARE | 3600189 | 01 |
| TN | BCBS EFFECTIVE 5/1/08 | 4182624 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013314533 | Jennifer Lynn Randolph | Acupuncturist | 1047 Via Cordova, San Pedro, CA 90732-2302 | 2014-11-26 |
| 1588221444 | Jennifer Randolph | Counselor | 10600 Se Mcloughlin Blvd Ste 207, Milwaukie, OR 97222-7428 | 2019-05-24 |
| 1306201991 | Jennifer Randolph | Behavioral Analyst | 6202 S Lewis Ave, Ste J, Tulsa, OK 74136-1099 | 2015-12-23 |
| 1942598602 | Jennifer Lee Randolph | Social Worker | 2540 Monroeville Blvd, Monroeville, PA 15146-2329 | 2011-07-15 |
| 1588956486 | Jennifer Michelle Randolph | Pharmacist | 600 Greece Ridge Center Dr, Target Pharmacy T-1194, Rochester, NY 14626-2825 | 2011-05-10 |
| 1326164898 | Jennifer T. Randolph | Counselor | 1129 11th St Nw, Washington, DC 20001-4354 | 2007-03-22 |
| Street Address |
1800 MEDICAL CENTER PKWY SUITE 330 |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37129-2567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684290 | Andria Renee Huston | Physical Therapist | 1800 Medical Center Pkwy, Ste 200, Murfreesboro, TN 37129-2567 | 2005-07-27 |
| 1720550353 | Jonathan Morgan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2018-12-20 |
| 1558887091 | Jeffrey Duncan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2017-08-16 |
| 1588197701 | John-michael Noah Young | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2017-04-05 |
| 1285099630 | Matthew Denney | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2015-12-29 |
| 1770958480 | Elizabeth Van Horn | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2015-12-07 |
| 1164811501 | Stacey Lawrence | Nurse Practitioner | 1800 Medical Center Pkwy, Ste 350, Murfreesboro, TN 37129-2567 | 2015-01-22 |
| 1942698063 | Covenant Healthcare for Women | Obstetrics & Gynecology | 1800 Medical Center Pkwy, Suite 325, Murfreesboro, TN 37129-2567 | 2014-12-23 |
| 1114321023 | Lindsey Hysmith | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2014-10-21 |
| 1609283571 | Allison Kellermann | Nurse Practitioner | 1800 Medical Center Pkwy, Suite 400, Murfreesboro, TN 37129-2567 | 2014-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183188 | Results-ast Jv, LLC | Physical Therapist | 1203-b Memorial Blvd, Murfreesboro, TN 37129 | 2020-10-27 |
| 1629689674 | Saint Thomas Medical Partners | Clinic/Center | 220 West Jefferson Pike, Murfreesboro, TN 37129 | 2020-08-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1275164162 | Seven Springs Orthopaedics, PC | Orthopaedic Surgery | 2213memorial Blvd., Suite D, Murfreesboro, TN 37129 | 2020-01-29 |
| 1255898185 | Sonja Vanetta Brown Deloatch | Social Worker | 6400 Lebanon Rd, Murfreesboro, TN 37129 | 2019-02-27 |
| 1821560137 | Zachary Ditmarsen | Chiropractor | 803 N Thompson Ln, Suite 103a, Murfreesboro, TN 37129 | 2018-12-27 |
| 1154841575 | Julia Goddeeris | Audiologist | 804 N Thompson Ln, Murfreesboro, TN 37129 | 2017-06-27 |
| 1548713100 | National Vision, Inc. | Technician/Technologist | 1993 Old Fort Pkwy, Murfreesboro, TN 37129 | 2016-08-01 |
| 1437504891 | Journeypure At The River LLC | Substance Abuse Rehabilitation Facility | 5080 Florence Rd, Murfreesboro, TN 37129 | 2016-05-04 |
| 1750763900 | Vilayvanh Saysoukha | Podiatrist | 1155 Kennedy Dr Ste 101, Murfreesboro, TN 37129 | 2015-06-24 |
| Find all providers in zip 37129 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811313489 | Miriam Ijeoyibo Obioha | Nurse Anesthetist, Certified Registered | 3033 Community Cir, Murfreesboro, TN 37128 | 2014-03-06 |
| 1720322787 | Jessica Sheren Asadsangabi | Nurse Anesthetist, Certified Registered | 1526 Ballater Dr, Murfreesboro, TN 37128-7582 | 2012-11-15 |
| 1811294531 | Mid-state Endoscopy Center LLC | Nurse Anesthetist, Certified Registered | 1115 Dow St, Ste A, Murfreesboro, TN 37130-2487 | 2011-02-15 |
| 1225048259 | Daniel Linn Booten | Nurse Anesthetist, Certified Registered | 4624 Manson Pike, Murfreesboro, TN 37129-3722 | 2006-08-09 |
| 1609829589 | Herbert Harb | Nurse Anesthetist, Certified Registered | 301 N University St, Ste 104, Murfreesboro, TN 37130-3900 | 2006-05-19 |
| 1093354292 | Zachery Charles Nichols | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 | 2020-01-06 |
| 1336786177 | Carly Cundiff | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy Ste 330, Murfreesboro, TN 37129-2586 | 2019-11-27 |
| 1720550353 | Jonathan Morgan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2018-12-20 |
| 1558887091 | Jeffrey Duncan | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Murfreesboro, TN 37129-2567 | 2017-08-16 |
| 1588197701 | John-michael Noah Young | Nurse Anesthetist, Certified Registered | 1800 Medical Center Pkwy, Suite 330, Murfreesboro, TN 37129-2567 | 2017-04-05 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37129 |
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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.