Lydia Asa Akua Randall

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

610 South 18TH Street
Grand Forks, ND 58201

Phone

(701) 757-0537

Fax

(701) 757-4024

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

Yes

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

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.

• Arise Above Consulting, LLC

  • Social Worker
  • Grand Forks, ND
  • NPI 1114767654

  Community Health Worker

  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1437990124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SOUTH 18TH STREET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-757-0537",
            "fax_number": "701-757-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SOUTH 18TH STREET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "58201",
            "telephone_number": "701-757-0537",
            "fax_number": "701-757-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "LYDIA",
        "middle_name": "ASA AKUA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Ann Rambough, ATC,LAT
• Pamela R Ramey
• Jasmyne Julia Ramirez-Olson
• Benjamin Ramos Anderson, LCSW
• Danielle Rancourt, MS, RD, CSSD, LD
• Rapidcare Urgent Care
• Case Rod Rasmussen, CRNA
• Serge Rasskazoff, MD
• David M Rathbone, MD
• Serena E Ratzlaff, MS, SLP

• Community Health Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Community Health Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.