Shawnice Randle

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

322 Sauganash St
Park Forest, IL 60466-2227

Phone

(708) 262-3798

NPI assigned

Mar 17, 2015

Last updated

Mar 17, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1295128122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 SAUGANASH ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662227",
            "telephone_number": "708-262-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 SAUGANASH ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662227",
            "telephone_number": "708-262-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "SHAWNICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pream Homecare Solutions
• Professional Foot & Ankle LLC
• Ramin Ghazizadeh LLC (Ramin Ghazizadeh DPM)
• Ramin Ghazizadeh LLC (Park Forest Podiatry)
• Jerome R Randall, DPM
• Reliable Health Care Services L.L.C.
• Resilient Home Care Services, LLC
• Michelle Riggins, FNP
• River Oaks and Park Forest Opco LLC (Green Oaks Supportive Living of Park Forest)
• Carina Robinson

• Nurse's Aide in Park Forest, IL
• Providers in Park Forest, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.