Nichole M Randerson, BS, MA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4000 W Spencer St
Appleton, WI 54914-4015

Phone

(920) 735-9010

Fax

(920) 735-9050

NPI assigned

Sep 10, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Arts

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1336398767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144015",
            "telephone_number": "920-735-9010",
            "fax_number": "920-735-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W SPENCER ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549144015",
            "telephone_number": "920-735-9010",
            "fax_number": "920-735-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDERSON",
        "first_name": "NICHOLE",
        "middle_name": "M",
        "credential": "BS, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley D. Ramaeker
• Ashley Ramm, LPC, ATR-BC
• Bailee Ramon
• Rachel Ramsay
• Tiffany Ramsey, RD, CD
• Aditya Kumar Rangbulla, M.D
• Rasmussen Family Dentistry, S.C.
• Molly J Rasmussen Peeters, APNP
• Andrew James Rasmussen, DDS
• Carl A Rasmussen, MD

• Addiction (Substance Use Disorder) Counselor in Appleton, WI
• Providers in Appleton, WI by specialty
• Addiction (Substance Use Disorder) Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.