Samantha Lee Randahl, NMD

Primary specialty

NaturopathTaxonomy code 175F00000X

License

18-1733 Issued in AZ

Practice address

10153 E Hampton Ave Ste 104
Mesa, AZ 85209-3326

Phone

(480) 535-5688

NPI assigned

Sep 24, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keystone Natural Family Medicine

  • Naturopath
  • Mesa, AZ
  • NPI 1487907549
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1003390105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10153 E HAMPTON AVE STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093326",
            "telephone_number": "480-535-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10153 E HAMPTON AVE STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093326",
            "telephone_number": "480-535-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAHL",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "NMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "18-1733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharat Bhushan Rana, B.D.S.
• Lee James Ranalli, C.R.N.A.
• Annoushka Amanda Ranaraja, PT, DPT
• Judith Ellen Rand, PH.D.
• Rachael Elizabeth Rand
• Randall C. Bretzing
• Randall K Tozer MD PC
• Darcel Randall, FNP-C
• Gary Milton Randall, D.O.
• Nick Randall, DMD

• Naturopath in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Naturopath in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.