Randal Herbert, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F0613731 Issued in LA

Practice address

14116 Customs Blvd
Gulfport, MS 39503-5164

Phone

(601) 957-6300

NPI assigned

Jun 28, 2013

Last updated

Oct 25, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Randy Herbert Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: rherbert@landmarkhealth-direct.org
• Direct secure messaging: rherbert2@landmarkhealth-direct.org

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1356781819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 IOLA ST.",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70001",
            "telephone_number": "504-296-0777",
            "fax_number": "504-455-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14116 CUSTOMS BLVD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035164",
            "telephone_number": "601-957-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foucher St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153515",
            "country_code": "US",
            "telephone_number": "504-897-8250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Galleria Blvd # 1420",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700012082",
            "country_code": "US",
            "telephone_number": "833-362-5364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "RANDAL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F0613731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "HERBERT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Helping Hands LLC (Respite Care)
• Helping Precious Hands LLC
• Brian Henrie, LMSW
• Samantha Henrie
• William O Henry, MD
• Angela Herman
• Stephanie Judith Herrera
• Johnathon R Herron, CSFA, CST
• Heuser Consulting Group, LLC
• Bailey Anne Heuser, LPC

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.