COURTNEY RANDOL (NPI# 1629601471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629601471 |
| Entity Type | Individual |
| Full Name | COURTNEY RANDOL |
| Practice Address |
14405 E Pace Dr. Palmer AK 99645 |
| Mailing Address |
Po Box 411 Palmer AK 99645-0411 |
| Practice Telephone | 9077461563 |
| Mailing Telephone | 9077461563 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 6044 | AK | Nursing Service Providers |
| Street Address |
14405 E PACE DR. |
| City | PALMER |
| State | AK |
| Zip Code | 99645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| 1457871014 | Jennifer Hoffman | Massage Therapist | 209 W. Cedar Ave, Palmer, AK 99645 | 2017-06-26 |
| Find all providers in zip 99645 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922465848 | Judith Lovell | Licensed Practical Nurse | 1120 S Gurn Cir, Palmer, AK 99645-6522 | 2016-01-22 |
| 1720404189 | Melody Kirchner | Licensed Practical Nurse | 5451 N Maverick Dr, Palmer, AK 99645-7901 | 2014-03-10 |
| 1407294085 | Elizabeth Truett | Licensed Practical Nurse | 4404 S Silver Bullet Cir, Palmer, AK 99645-8292 | 2013-06-05 |
| 1427260439 | Patsy Jean Berry | Licensed Practical Nurse | 1101 Shenandoah Dr., Palmer, AK 99645-0000 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336706662 | Cynthia Malina Franco | Licensed Practical Nurse | 670 W Fireweed Ln Ste 106, Anchorage, AK 99503-2562 | 2019-05-22 |
| 1144706458 | Alysia S Peppers | Licensed Practical Nurse | 3628 South Shady Lane, Wasilla, AK 99654 | 2018-07-19 |
| 1083123665 | Mareena Michelle Becerril-wild | Licensed Practical Nurse | 4219 S Pinnacle Peak Dr, Wasilla, AK 99623-0721 | 2017-09-26 |
| 1306364237 | Kenya Renay Hurd | Licensed Practical Nurse | 670 W Fireweed Ln Ste 120, Anchorage, AK 99503-2562 | 2017-08-30 |
| 1154857431 | Emily Nicole Henry | Licensed Practical Nurse | 5500 E 38th Ct Apt 2, Anchorage, AK 99504-4330 | 2017-05-05 |
| 1275068504 | Timothy Shawn Hicks-glover Jr. | Licensed Practical Nurse | 4003 Minnesota Dr Apt 19, Anchorage, AK 99503-6453 | 2017-04-24 |
| 1619408770 | Ashley Long | Licensed Practical Nurse | 3705 Arctic Blvd # 2237, Anchorage, AK 99503-5774 | 2017-03-21 |
| 1508307158 | Eileen Lloyd | Licensed Practical Nurse | 218 Skwentna Dr, Anchorage, AK 99504-4886 | 2017-03-15 |
| 1114467503 | Anna Meisel | Licensed Practical Nurse | 189 E Nelson Ave # 238, Wasilla, AK 99654-6462 | 2017-03-03 |
| 1124566757 | Jennifer Rose Bullard | Licensed Practical Nurse | 8429 Heather Cir, Anchorage, AK 99502-3906 | 2017-02-02 |
| Find all providers with the same taxonomy | ||||
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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.