MRS. TAMERA RANDOLPH (NPI# 1861810343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861810343 |
| Entity Type | Individual |
| Full Name | MRS. TAMERA RANDOLPH |
| Credential | RN |
| Practice Address |
201 W. Ramseur Dr. Blackburg SC 29702 |
| Mailing Address |
201 W Ramseur Dr Blacksburg SC 29702-1824 |
| Practice Telephone | 8642062433 |
| Practice Fax Number | 8648392960 |
| Mailing Telephone | 8642062433 |
| Mailing Fax Number | 8648392960 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
206138 | SC | Nursing Service Providers |
| Street Address |
201 W. RAMSEUR DR. |
| City | BLACKBURG |
| State | SC |
| Zip Code | 29702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316315054 | Jim Nasim Dmd, Pa | Dentist | 305 West Pine Street, Blacksburg, SC 29702 | 2015-09-11 |
| 1396163317 | Tammie Peterson | Licensed Practical Nurse | 402 Hardin Street, Blacksburg, SC 29702 | 2014-04-07 |
| 1821424045 | Healthstat On-site Clinic/milliken Allen | Preventive Medicine | 164 Milliken St, Blacksburg, SC 29702 | 2013-09-19 |
| 1942636154 | Healthstat On-site Clinic/milliken Magnolia | Preventive Medicine | 157 Milliken Rd., Blacksburg, SC 29702 | 2013-09-19 |
| 1366605214 | Leah Quirita Walden | Dentist | 2022 Cherry Road, Rock Hill, SC 29702 | 2008-07-09 |
| 1972792398 | Ron C Sisk | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702 | 2007-10-22 |
| 1952347320 | Philip Edward Brafford Jr. | Chiropractor | 1742 W Cherokee Street, Blacksburg, SC 29702 | 2006-06-22 |
| 1457828329 | Supreme Management and Associates, LLC | Home Health | 107 1/2 W Cherokee St, Blacksburg, SC 29702-1501 | 2018-10-30 |
| 1518221258 | Jamie S Earls | Massage Therapist | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2012-06-27 |
| 1629391230 | Sisk Chiropractic Clinic | Chiropractor | 202 S Shelby St, Blacksburg, SC 29702-1542 | 2010-03-10 |
| Find all providers in zip 29702 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841400 | Tiffany Holcombe Price | Registered Nurse | 160 Ivory Key Rd, Saluda, SC 29138-8177 | 2020-11-05 |
| 1437759222 | Amy P Etheridge | Registered Nurse | 3650 Park Avenue Blvd, Mount Pleasant, SC 29466-7242 | 2020-10-29 |
| 1679187421 | Natalie Padgett | Registered Nurse | 1025 Sea Island Pkwy, Saint Helena Island, SC 29920-4399 | 2020-08-31 |
| 1316573678 | Amanda Kalinsky | Registered Nurse | 3100 Carner Ave, North Charleston, SC 29405-3001 | 2020-03-19 |
| 1396395588 | Elizabeth Fisher | Registered Nurse | 409 Airy Springs Rd, Easley, SC 29642-8702 | 2019-09-19 |
| 1194373639 | Opal Elaine Sobieszczyk | Registered Nurse | 42 Isle of Hope, Mt Pleasant, SC 29464-6634 | 2019-08-28 |
| 1740836139 | Kellie Elizabeth Baker | Registered Nurse | 1475 E Liberty St, York, SC 29745-6440 | 2019-08-13 |
| 1871148528 | Kelly Jo Childers | Registered Nurse | 1010 Devinney Rd, York, SC 29745-2127 | 2019-08-08 |
| 1003460668 | Laureen Mitchell | Registered Nurse | 2100 Bull St., Columbia, SC 29201-2104 | 2019-07-31 |
| 1578028791 | Brandi Hallman | Registered Nurse | 300 Matthews Drive, Saluda, SC 29138 | 2019-02-01 |
| 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.