Davida Elaine Randolph

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7123 Issued in WI

Practice address

333 E Campus Mall
Madison, WI 53715-1365

Phone

(608) 890-1345

NPI assigned

Dec 8, 2023

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

Other names 1

• Davida Elaine Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1144097247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CAMPUS MALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CAMPUS MALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537151365",
            "telephone_number": "608-890-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "DAVIDA",
        "middle_name": "ELAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVIDA",
            "last_name": "WILLIAMS",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Marie Randall, ME
• Kathryn Kimberly Randall, MD
• Kevin Carl Randall, MSW
• Mary G Randel
• Olivia Randi
• Stacy Ranguette, PA
• Catherine Elaine Ranheim, MD
• Erik A Ranheim, MD PHD
• Kumuda Ranjan, M.D
• Carolyn T Rank, M.D.

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.