Nita Louise Randall, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

73103553102 Issued in UT

Practice address

6109 W 3700 N
Ivins, UT 84738-6663

Phone

(435) 688-8198

Fax

(435) 688-8199

NPI assigned

Jan 20, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paiute Indian Tribe of Utah

  • Clinic/Center
  • Cedar City, UT
  • NPI 1700062296
  NPD (past)
• Paiute Indian Tribe of Utah

  • Federally Qualified Health Center (FQHC)
  • St George, UT
  • NPI 1801063441
  NPD (past)

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1346511441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 W 3700 N",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386663",
            "telephone_number": "435-688-8198",
            "fax_number": "435-688-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 W 3700 N",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386663",
            "telephone_number": "435-688-8198",
            "fax_number": "435-688-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "NITA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "73103553102",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704222572",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahlai Narcisse
• Cole Newton
• Paiute Indian Tribe of Utah
• Rachelle Catherine Perry
• Curtis Peters
• Red Mountain Mental Health
• Heather Reynolds, PA-C
• Drew D Richards, DDS
• Nicholas Saidi
• Brogan R Secrist

• All providers in Ivins, UT
• Registered Nurse in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.