Amy Michelle Randolph, DNP, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024191482 Issued in VA

Practice address

833 Buffalo St
Farmville, VA 23901-1111

Phone

(434) 392-8177

NPI assigned

Jul 17, 2023

Last updated

Oct 10, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, shared by 19 NPIs, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090
• CJW Medical Center Hospital, Richmond, VA, CCN 490112

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Central Virginia Health Services Inc

  dba CVHS Downtown Petersburg

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba CVHS Charlottesville

  • Federally Qualified Health Center (FQHC)
  • Charlottesville, VA
  • NPI 1548632508
  Medicare reassignment NPD
• Central Virginia Health Services Inc

  dba Appomattox Area Health and Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1588878474
  NPD
• Central Virginia Health Services Inc

  dba CVHS Blue Devils Health Center

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • New Canton, VA
  • NPI 1275512063
  NPD (past)
• Central Virginia Health Services Inc

  dba CVHS Charlotte

  • Federally Qualified Health Center (FQHC)
  • Charlotte Court House, VA
  • NPI 1891823498
  NPD (past)

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

• Chippenham & Johnston-Willis Hospitals Inc

  dba CJW Medical Center

  • General Acute Care Hospital
  • Richmond, VA
  • NPI 1598708513
  Care Compare affiliation
• Southside Community Hospital, Inc.

  dba Centra Southside Community Hospital

  • General Acute Care Hospital
  • Farmville, VA
  • NPI 1518952761
  Care Compare affiliation

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1235818295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 RANDOLPH DR",
            "city": "RICE",
            "state": "VA",
            "postal_code": "239662317",
            "telephone_number": "434-547-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 BUFFALO ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239011111",
            "telephone_number": "434-392-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 Randolph Dr",
            "address_purpose": "LOCATION",
            "city": "Rice",
            "state": "VA",
            "postal_code": "239662317",
            "country_code": "US",
            "telephone_number": "434-547-0366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191482",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001269946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia S. Quinn-Houston, MA CCC SLP
• Robert Raborn, LPC
• Sunil Rajan, M.D.
• Andrew Naveen Samuel Rajkumar, D.O.
• Carole Kirkland Ramser, M.ED., CCC/SLP
• Gale Lorraine Randolph, LPC
• Mary Beth Rank, APRN-BC
• Matthew A Rease
• Rector & Visitors of the University of Virginia (UVA-Centra Farmville Dialysis)
• Kathleen H Redford, COTA

• Family Nurse Practitioner in Farmville, VA
• Providers in Farmville, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.