Active NPI
Randi Estes
- Gerontology Nurse Practitioner
- Spartanburg, SC
National Provider Identifier
1215519350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 1-159843
- Practice address
- 1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219 - Phone
- (864) 582-6396
- Fax
- (864) 542-2939
- NPI assigned
- Apr 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1-159843 | AL | Primary |
Addresses
Primary practice location
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Mailing address
1330 Boiling Springs Rd Ste 1600
Spartanburg, SC 29303-4219
Phone (864) 582-6396
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1330 Boiling Springs Rd
Suite 1600
Spartanburg, SC 29303-4201
528 56TH St S
Birmingham, AL 35212-3620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-159843 | AL | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1215519350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-542-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 BOILING SPRINGS RD STE 1600",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034219",
"telephone_number": "864-582-6396",
"fax_number": "864-542-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "RANDI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AL",
"license": "1-159843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- 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.