Active NPI
Gwendolynn Delores Randall, CRNA, PHD,APRN
- Certified Registered Nurse Anesthetist
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN3034802
- Practice address
- 1000 36TH St
Vero Beach, FL 32960-4862 - Phone
- (772) 776-9621
- Fax
- (772) 778-3494
- NPI assigned
- May 17, 2006
- Last updated
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN3034802 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 17249 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 330397 | AZ |
Addresses
Primary practice location
1000 36TH St
Vero Beach, FL 32960-4862
Mailing address
104 Suffolk Dr
Royal Palm Beach, FL 33411-8262
Phone (561) 628-1930
Other practice location 1
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
Other practice location 2
901 45th St
West Palm Beach, FL 33407-2413
Phone (561) 844-6300
Other practice location 3
3601 The Vnderbilt Clinic
Nashville, TN 37232-2413
Phone (615) 322-3000
Other practice location 4
104 Suffolk Dr
Royal Palm Beach, FL 33411-8262
Phone (561) 628-1930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G3421 | Other | FL | BCBS |
Other names 1
- Dr. Gwendolynn Delores Johnson Randall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, PA, TN
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
301 Memorial Medical Pkwy
Daytona Beach, FL 32117-5167
Phone (386) 231-6000
460 N State Rd
Suite 7
Royal Palm Beach, FL 33411-3514
Phone (954) 939-5000
5645 S Military TRL
Lake Worth, FL 33463-6978
Phone (833) 964-1135
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Registered Nurse, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330397 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orange County Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Gi Alliance Anesthesia of Florida, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Vanderbilt University Medical Center | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams National LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology Services of Florida, Inc. | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| SWF Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Tennessee, P.C. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia, Pennsylvania , LLC | Anesthesiology | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Anesthesiology | Current | Accepting new patients |
| Medical Anesthesia Group, PA | Anesthesiology | Current | Accepting new patients |
| St Lucie Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Pennsylvania, LLC | Anesthesiology | Current | Accepting new patients |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| Florida Hospital Healthcare Partners, Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| St. Lucie Anesthesia Associates, LLC | Anesthesiology | Current | Accepting new patients |
| Greater Florida Anesthesiologists, LLC | Anesthesiology | Current | Accepting new patients |
| West Florida Anesthesia Associates LLC | Anesthesiology | Current | Accepting new patients |
| Palm Beach Anesthesia Partners, Inc. | Anesthesiology | Past | Accepting new patients |
| Florida Ambulatory Anesthesia LLC | Anesthesiology | Past | Accepting new patients |
| Associates in Anesthesia | Anesthesiology | Past | Accepting new patients |
| Anesthesia & Pain Medicine PA | Past | Accepting new patients | |
| Anesthesiology Consultants of the Palm Beaches PA | Anesthesiology | Past | Accepting new patients |
| Associates in Anesthesia, Inc. | Anesthesiology | Past | Accepting new patients |
Locations (25 of 55)
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277
12900 Cortez Blvd
Ste 103
Brooksville, FL 34613
Phone (352) 596-1145
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
301 Memorial Medical Pkwy
Daytona Beach, FL 32117
Phone (386) 231-3906
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452
8380 Riverwalk Park Blvd
Ste 220
Fort Myers, FL 33919
Phone (239) 215-4104
2140 W 68th St
Hialeah, FL 33016
Phone (305) 332-2065
3995 NW Goldenrod Rd
Jensen Beach, FL 34957
Phone (772) 497-0020
715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071
5645 S Military Trl
Lake Worth, FL 33463
Phone (561) 689-4500
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
12961 Palms West Dr
Loxahatchee, FL 33470
Phone (561) 793-0437
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
100 N Dean Rd
Ste 102
Orlando, FL 32825
Phone (407) 506-0006
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
61 Memorial Medical Pkwy
Ste 1-800A
Palm Coast, FL 32164
Phone (386) 586-1810
Interoperability endpoints
- https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
Organizations & group practices 33
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
-
- Certified Registered Nurse Anesthetist
- Atlantis, FL
- NPI 1053030619
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- St Petersburg, FL
- NPI 1942519657
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
dba Behavioral Health Center
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Certified Registered Nurse Anesthetist
- Orlando, FL
- NPI 1003434762
Anesthesiology
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Boca Raton, FL
- NPI 1700044252
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1588236954
Anesthesiology
-
- Certified Registered Nurse Anesthetist
- Fort Myers, FL
- NPI 1962926568
Anesthesiology
-
- Anesthesiology Physician
- Knoxville, TN
- NPI 1609822998
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1184676975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SUFFOLK DR",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334118262",
"telephone_number": "561-628-1930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 36TH ST",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329604862",
"telephone_number": "772-776-9621",
"fax_number": "772-778-3494"
}
],
"practiceLocations": [
{
"address_1": "1200 N Beaver St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860013118",
"country_code": "US",
"telephone_number": "928-779-3366",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "901 45th St",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334072413",
"country_code": "US",
"telephone_number": "561-844-6300",
"fax_number": "561-833-8939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 The Vnderbilt Clinic",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372322413",
"country_code": "US",
"telephone_number": "615-322-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Suffolk Dr",
"address_purpose": "LOCATION",
"city": "Royal Palm Beach",
"state": "FL",
"postal_code": "334118262",
"country_code": "US",
"telephone_number": "561-628-1930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "GWENDOLYNN",
"middle_name": "DELORES",
"name_prefix": "Dr.",
"credential": "CRNA, PHD,APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN3034802",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "17249",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "330397",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "G3421",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYNN",
"last_name": "JOHNSON RANDALL",
"middle_name": "DELORES",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.