Shalan M. Randolph, N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN104936 AP05062 Issued in LA

Practice address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Phone

(504) 842-4000

NPI assigned

Aug 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shalan.randolph.1@30712.direct.athenahealth.com

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.

• Care Eleven Louisiana LLC

  • Primary Care Clinic/Center
  • New Orleans, LA
  • NPI 1851127369
  Medicare reassignment NPD
• Louisiana Academic Health Network, LLC

  • Student Health Clinic/Center
  • New Orleans, LA
  • NPI 1972094266
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Urgent Care Eleven, LLC

  • Urgent Care Clinic/Center
  • New Orleans, LA
  • NPI 1457761199
  Medicare reassignment NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • Mandeville, LA
  • NPI 1811196868
  NPD
• Urgent Care Eleven, LLC

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083471122
  NPD

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1114118262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "SHALAN",
        "middle_name": "M.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "RN104936 AP05062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014206",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kizzy Randle
• Lakita Randle
• Tranekka Randle
• Brian Randolph
• Joshua Randolph, PHARMD
• Randy P Bouligny MD
• Trevor Raney
• Caitlyn Louviere Ranger, M.D.
• Ayesha Hassan Ranjha, MD
• Danielle Rankin, PT, DPT

• Acute Care Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Acute Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.