Active NPI
Randa Colbert
- Dental Hygienist
- Athens, TN
National Provider Identifier
1467151746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH6630
- Practice address
- 204 E College St
Athens, TN 37303-3604 - Phone
- (423) 584-1070
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH6630 | TN | Primary |
Addresses
Primary practice location
204 E College St
Athens, TN 37303-3604
Mailing address
379 Quail Run Trce NE
Cleveland, TN 37312-6686
Phone (423) 584-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH6630 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1467151746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 QUAIL RUN TRCE NE",
"city": "CLEVELAND",
"state": "TN",
"postal_code": "373126686",
"telephone_number": "423-584-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E COLLEGE ST",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033604",
"telephone_number": "423-584-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "RANDA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "DH6630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.