Tracey Randall

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN546697 Issued in PA

Practice address

62 W Harvey St
Philadelphia, PA 19144-2720

Phone

(267) 438-4191

NPI assigned

Oct 2, 2024

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

State licenses

Practice roles

Locations

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.

• Alana Milans Care

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1154166361
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1427876077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 W HARVEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442720",
            "telephone_number": "267-438-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 W HARVEY ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191442720",
            "telephone_number": "267-438-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN546697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Randall, PA-C
• Maxwell Gannon Randall, MD
• Susanna Tilghman Randall, CRNP
• Terri Randall, M.D.
• Tiara Ruth Randall, MS
• Nicole Rose Randazza
• Christine Marie Randazzo, NP
• Isabel Rose Randazzo, MD
• Marisa C Randazzo
• Harry Randel, D.M.D.

• Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.