Randys Mom LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

RANDYS MOM LLC

Practice address

515 Keisler Dr Ste 102
Cary, NC 27518-7097

Phone

(919) 757-6844

Fax

(919) 230-2510

NPI assigned

Sep 24, 2015

Last updated

Sep 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julia SimmonsNPI 1710027677

Title

Owner

Phone

(919) 757-6844

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julia Simmons

  • Case Manager/Care Coordinator
  • Cary, NC
  • NPI 1710027677
  Authorized official Same address or phone

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1477922011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 KEISLER DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187097",
            "telephone_number": "919-757-6844",
            "fax_number": "919-230-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 KEISLER DR STE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187097",
            "telephone_number": "919-757-6844",
            "fax_number": "919-230-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDYS MOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-757-6844"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Ramzan, PMHNP-BC
• Trusha S Rana, PHARMD
• Jaylyn Aniya Rand I, NC
• Jeff Randall, PSY.D.
• Kelley Randles
• Sushma Rangaswamy
• Samara Rankin
• Rao Clinic PLLC (Aegis Medical Center)
• Jayalalitha Rao, M.D
• Priyanka Sanku Rao, MD

• Durable Medical Equipment & Medical Supplies in Cary, NC
• Providers in Cary, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.