Individual provider Active NPI

Gwendolynn Delores Randall, CRNA, PHD,APRN

  • Certified Registered Nurse Anesthetist
  • Vero Beach, FL
National Provider Identifier
1184676975
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN3034802 Issued in FL
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G3421OtherFLBCBS

Other names 1

  • Dr. Gwendolynn Delores Johnson Randall Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040626000051 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597660811 Reassigns benefits to 13 organizations
I20130218000088 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597660811 Reassigns benefits to 2 organizations
I20140924001522 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 5597660811 Reassigns benefits to 3 organizations

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
Florida Hospital Healthcare Partners, IncGroup PAC ID 7012266836, 621 clinicians
Gi Alliance Anesthesia of Florida PLLCGroup PAC ID 3476927203, 11 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
330397AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Orange County Anesthesia Associates, LLC Anesthesiology CurrentSince Dec 21, 2021 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Gi Alliance Anesthesia of Florida, PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 5, 2025 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 2, 2019 Accepting new patients
Vanderbilt University Medical Center Anesthesiology CurrentSince Oct 14, 2019 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Feb 2, 2015 Accepting new patients
Ams National LLC Anesthesiology CurrentSince Oct 9, 2022 Accepting new patients
American Anesthesiology Services of Florida, Inc. Anesthesiology CurrentSince Apr 20, 2024 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 4, 2019 Accepting new patients
SWF Anesthesia, LLC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
American Anesthesiology of Tennessee, P.C. Anesthesiology CurrentSince Feb 2, 2015 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
North American Partners in Anesthesia, Pennsylvania , LLC Anesthesiology CurrentSince Mar 1, 2015 Accepting new patients
Northern Arizona Healthcare Corporation Anesthesiology Current Accepting new patients
Medical Anesthesia Group, PA Anesthesiology CurrentSince Aug 1, 2020 Accepting new patients
St Lucie Anesthesia Associates LLC Anesthesiology Current Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
Indian River Health Services Inc CurrentSince May 15, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince May 15, 2023 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Sep 26, 2025 Accepting new patients
Florida Hospital Healthcare Partners, Inc CurrentSince Nov 18, 2025 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Dec 4, 2019 Accepting new patients
St. Lucie Anesthesia Associates, LLC Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Greater Florida Anesthesiologists, LLC Anesthesiology CurrentSince Sep 26, 2025 Accepting new patients
West Florida Anesthesia Associates LLC Anesthesiology CurrentSince Oct 4, 2022 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 PastSince Mar 30, 2026 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

  • FHIR API: https://api.platform.athenahealth.com/1698/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

View all 33

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.