Olivia Randall, NP-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

77359 Issued in NM

Practice address

4550 Eubank Blvd NE Ste 107
Albuquerque, NM 87111-2565

Phone

(505) 503-8806

Fax

(888) 503-8511

NPI assigned

Jun 4, 2024

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

Medicare fee-for-service enrollment

Enrolled in NM

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

Practice roles

Locations

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.

• Behavioral Health Services of New Mexico LLC

  dba Central Desert Behavioral Health Center

  • Psychiatric Hospital
  • Albuquerque, NM
  • NPI 1427330679
  Medicare reassignment NPD
• Rehabilitation Partners

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1033492673
  Medicare reassignment NPD
• Behavioral Health Services of New Mexico LLC

  dba Central Desert Behavioral Health Center

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1477913697
  NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1184465148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N RENAISSANCE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871076827",
            "telephone_number": "276-734-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE STE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112565",
            "telephone_number": "505-503-8806",
            "fax_number": "888-503-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "OLIVIA",
        "credential": "NP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-04",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "77359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam McLeod Rand, LPCC
• Allyson Randall, LPCC
• Marianne Randall
• Nancy Carr Randall, DOM
• Nashe Phylice Randall, SLP
• Shandy Lynn Randall, LMSW
• Kyle D. Randolph, DO
• Patricia Randolph
• Raymond Randolph, CPSW
• Sophie Rane III, RBT

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.