Active NPI
Randolph's Family Health and Wellness
- Family Nurse Practitioner
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RANDOLPH'S FAMILY HEALTH AND WELLNESS
- Practice address
- 3037 Lakeland Hills Blvd Ste 7a
Lakeland, FL 33805-2225 - Phone
- (863) 860-4500
- NPI assigned
- May 18, 2022
- Last updated
- Apr 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Lucille Randolph, APRN
- Title
- Nurse Practitioner
- Phone
- (863) 333-0032
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3037 Lakeland Hills Blvd Ste 7a
Lakeland, FL 33805-2225
Mailing address
12596 US Highway 98 N
Lakeland, FL 33809-1089
Phone (863) 860-4500
National Provider Directory
National Provider DirectoryLocations
3037 Lakeland Hills Blvd
Ste 7
Lakeland, FL 33805
Phone (863) 333-0032
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Lakeland, FL
- NPI 1821749540
-
- Family Nurse Practitioner
- Lakeland, FL
- NPI 1871367573
-
- Family Nurse Practitioner
- Lakeland, FL
- NPI 1366222333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1164169371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12596 US HIGHWAY 98 N",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338091089",
"telephone_number": "863-860-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3037 LAKELAND HILLS BLVD STE 7A",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338052225",
"telephone_number": "863-860-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDOLPH'S FAMILY HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "RANDOLPH",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "LUCILLE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "863-333-0032",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.