RACHEL RANDOLPH (NPI# 1700399193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700399193 |
| Entity Type | Individual |
| Full Name | RACHEL RANDOLPH |
| Practice Address |
1108 Lapeer Rd Flint MI 48503-2704 |
| Practice Telephone | 8102327919 |
| Practice Fax Number | 8102327913 |
| Mailing Telephone | 8102327919 |
| Mailing Fax Number | 8102327913 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084729 | Rachel Randolph | Licensed Vocational Nurse | 9846 Hwy 31 E, Tyler, TX 75705-2329 | 2020-08-20 |
| 1225492978 | Rachel Elizabeth Randolph | Student in an Organized Health Care Education/Training Program | 1000 Asylum Ave, St Francis Hospital, Suite 1004, Hartford, CT 06105-1770 | 2016-04-08 |
| 1144522681 | Rachel Randolph | Pharmacist | 5225 Poplar Tent Rd, Concord, NC 28027-7757 | 2010-12-02 |
| 1811148067 | Rachel Randolph | Social Worker | 348 13th St, Suite 203, Brooklyn, NY 11215-5004 | 2008-10-07 |
| Street Address |
1108 LAPEER RD |
| City | FLINT |
| State | MI |
| Zip Code | 48503-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497986483 | Flint Odyssey House, Inc. | Community/Behavioral Health | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2009-08-07 |
| 1205471471 | Caitlyn Grace-mansour Berens | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-11-12 |
| 1457901720 | Anthony Floyd | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-09-18 |
| 1003463894 | Jacqueline Gallant | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-08-26 |
| 1649827817 | Samantha Dunning | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-08-22 |
| 1447719109 | Timothy Fisher | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-03-13 |
| 1497213508 | Latasha Smith | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2019-03-07 |
| 1851829501 | Zina Monique Mcmullen | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2017-05-25 |
| 1174061485 | Christie Pemberton | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2017-02-07 |
| 1952855157 | Samantha Mccullough | Counselor | 1108 Lapeer Rd, Flint, MI 48503-2704 | 2016-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457971640 | Flint Odyssey House Inc. | Community/Behavioral Health | 1219 Martin Luther King Avenue, Flint, MI 48503 | 2020-04-17 |
| 1891265476 | Mary Margaret Woodruff | Health Educator | 411 E. Third St Suite 2, Flint, MI 48503 | 2018-11-27 |
| 1669942223 | Donna Jean Phelps | Behavior Technician | 2284 S Ballenger Highway, Flint, MI 48503 | 2018-11-27 |
| 1588150601 | Dayonna Scott | Social Worker | Hope Network, 2830 Corunna Rd, Flint, MI 48503 | 2018-07-02 |
| 1801388020 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2284 S Ballenger Hwy Ste F, Flint, MI 48503 | 2018-06-04 |
| 1134610504 | Swathi Gorle | Student in an Organized Health Care Education/Training Program | Hurley Medical Center, 1 Hurley Plaza, Flint, MI 48503 | 2018-05-22 |
| 1881128049 | Kara Garr | Registered Nurse | 805 Tuuri Pl, Flint, MI 48503 | 2017-04-14 |
| 1518405638 | Thomasinia Terrell | Peer Specialist | 422 W Fourth Ave, Flint, MI 48503 | 2017-02-09 |
| 1790231041 | Roslyn Boyce | Technician, Other | 2213 E. Court Street, Flint, MI 48503 | 2016-08-28 |
| 1689120818 | Yasmine Elhefnawy | Student in an Organized Health Care Education/Training Program | One Hurley Plaza 3d West, Flint, MI 48503 | 2016-08-28 |
| Find all providers in zip 48503 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821457 | Jessica Hush | Counselor | 517 E 5th Ave, Flint, MI 48503-1541 | 2020-08-11 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1396300463 | Giving Hope LLC | Counselor | 4058 N Linden Rd Ste D, Flint, MI 48504-1381 | 2019-05-04 |
| 1366948937 | Stephanie Laverne Mcgowan | Counselor | 129 E. Third Street, Flint, MI 48502 | 2018-04-03 |
| 1154772192 | Ramona Moye | Counselor | 2039 Burr Blvd, Flint, MI 48503-4209 | 2016-06-30 |
| 1629471198 | Tiffany Pritchett | Counselor | 2542 Orchard Ln, Flint, MI 48504-4537 | 2014-09-29 |
| 1013357896 | Gina L'or'eal Berry | Counselor | 420 W. Fifth Ave., Flint, MI 48503 | 2013-06-26 |
| 1174886907 | Patricia Marie Ritz | Counselor | 5406 Gateway Ctr, Ste A, Flint, MI 48507-3900 | 2012-06-18 |
| 1558628388 | Krystin Sankey | Counselor | 4520 Linden Creek Pkwy Ste B, Flint, MI 48507-2969 | 2012-04-18 |
| 1386929925 | New Sunrise Day Care LLC | Counselor | 3497 W Pasadena Ave, Flint, MI 48504-2331 | 2011-10-14 |
| Find all providers in FLINT | ||||
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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.