Active NPI
Randi D Raizner, PH.D.
- Clinical Neuropsychologist
- Sugar Land, TX
National Provider Identifier
1295775617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 32376
- Practice address
- 12946 Dairy Ashford Rd
Suite 200
Sugar Land, TX 77478 - Phone
- (713) 256-1157
- Fax
- (346) 309-2331
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 32376 | TX | Primary |
Addresses
Primary practice location
12946 Dairy Ashford Rd
Suite 200
Sugar Land, TX 77478
Mailing address
12946 Dairy Ashford Rd
Suite 200
Sugar Land, TX 77478
Phone (713) 256-1157
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172605101 | Medicaid | TX | |
| 87100A | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1295775617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12946 DAIRY ASHFORD RD",
"address_2": "SUITE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77478",
"telephone_number": "713-256-1157",
"fax_number": "346-309-2331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12946 DAIRY ASHFORD RD",
"address_2": "SUITE 200",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "77478",
"telephone_number": "713-256-1157",
"fax_number": "346-309-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAIZNER",
"first_name": "RANDI",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "32376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172605101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "87100A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sugar Land, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.