Active NPI
Paige Williams Randall, M.S. CCC-SLP
- Speech-Language Pathologist
- Boone, NC
National Provider Identifier
1447642467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1506028
- Practice address
- 1179 State Farm Rd
Boone, NC 28607-4943 - Phone
- (828) 262-7677
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1506028 | NC | Primary |
Addresses
Primary practice location
1179 State Farm Rd
Boone, NC 28607-4943
Mailing address
1179 State Farm Rd
Boone, NC 28607-4943
Phone (828) 262-7677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903001946 | NC | Practitioner - Qualified Speech Language Pathologist | 4880133909 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
400 University Hall Dr
Boone, NC 28807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1506028 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian State University | Speech-Language Pathologist | Current | Accepting new patients |
| Appalachian State University | Current | Accepting new patients | |
| Appalachian State University | Current | Accepting new patients | |
| Watauga Medical Center, Inc. | Past | Accepting new patients |
Locations
1179 State Farm Rd
Boone, NC 28607
Phone (828) 262-7677
1179 State Farm Rd
Ste 132
Boone, NC 28607
Phone (828) 262-8658
Organizations & group practices 4
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.
-
- Hearing and Speech Clinic/Center
- Boone, NC
- NPI 1851387286
NC, Speech-Language Pathologist
-
- Family Medicine Physician
- Boone, NC
- NPI 1376794255
-
- Community/Behavioral Health Agency
- Boone, NC
- NPI 1699104273
-
- Multi-Specialty Clinic/Center
- Boone, NC
- NPI 1881085587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1447642467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 STATE FARM RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286074943",
"telephone_number": "828-262-7677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 STATE FARM RD",
"city": "BOONE",
"state": "NC",
"postal_code": "286074943",
"telephone_number": "828-262-7677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "PAIGE",
"middle_name": "WILLIAMS",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "1506028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.