Lesley Ann Randoll, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APRN11002450 Issued in FL

Practice address

391 N Main St
Kissimmee, FL 34744-5271

Phone

(407) 518-1074

NPI assigned

Feb 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1104240035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445271",
            "telephone_number": "407-518-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 N MAIN ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445271",
            "telephone_number": "407-518-1074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 S Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014536",
            "country_code": "US",
            "telephone_number": "660-665-7575",
            "fax_number": "660-665-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015275",
            "country_code": "US",
            "telephone_number": "573-814-6000 x53302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "831 Simpson Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347445328",
            "country_code": "US",
            "telephone_number": "407-483-5757",
            "fax_number": "407-350-5291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLL",
        "first_name": "LESLEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN11002450",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "APRN11002450",
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "MO",
            "license": "2014003661",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MO",
            "license": "2014003661",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11002450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING LICENSE",
            "identifier": "2014003661",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF NURSING LICENSE",
            "identifier": "APRN11002450",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Cely Ramos
• Sheila Ramos
• Tiffany Ramos
• Niala Ramoutar
• Christine Randle
• Randolph Rodriguez
• Andrea Paola Rangel
• Aditya Rao
• Brooke Anne Rao
• Yekatherine Rasmussen, M.D.

• Gerontology Nurse Practitioner in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.