Courtneyanne Randall, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

150 Kennedy Dr
South Burlington, VT 05403-6749

Phone

(802) 448-9370

Fax

(802) 448-1414

NPI assigned

Sep 14, 2020

Last updated

Jul 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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 VT, NY2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment Care Compare group
• Champlain Medical Associates PLLC

  • Family Medicine Physician
  • S Burlington, VT
  • NPI 1013273697
  Medicare reassignment
• Hoeppner Physical Therapy Limited Partnership

  • Physical Therapist
  • South Burlington, VT
  • NPI 1427162957
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1225643547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-448-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 KENNEDY DR",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036749",
            "telephone_number": "802-448-9370",
            "fax_number": "802-448-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6984 E Keeney Rd",
            "address_purpose": "LOCATION",
            "city": "Cuyler",
            "state": "NY",
            "postal_code": "131584107",
            "country_code": "US",
            "telephone_number": "607-591-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "COURTNEYANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Rainville, RDN, LD
• Kelly Tatiana Ramos-Arango, MS
• Melissa Day Ramsbottom
• David Ramsden, MA,MS,LADC
• Gina Marie Rancourt, MS, RDN, CD
• Tana V Randall, LICSW
• Chelsea Rapin, DPT
• Shanna Rapp, PHARMD
• Adisa Ratanasirintrawoot
• Amine Rebahi

• Physician Assistant in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Physician Assistant in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.

Verify at the official NPI Registry.