Randi M. Gregory, SPECIAL ED. TEACHER

Primary specialty

SpecialistTaxonomy code 174400000X

License

384621101 Issued in NY

Practice address

1 Scouting Blvd
Medford, NY 11763-2220

Phone

(631) 297-3202

NPI assigned

Jun 18, 2012

Last updated

Sep 23, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1518220375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E GRANADA AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576528",
            "telephone_number": "631-680-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCOUTING BLVD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632220",
            "telephone_number": "631-297-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "RANDI",
        "middle_name": "M.",
        "credential": "SPECIAL ED. TEACHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "384621101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Ann Grant, LPN
• Kelly Graves
• Katarzyna Gray, RPH
• Naima S Gray, LMSW
• Melissa B Greer
• Alyssa Catherine Griffin, PHYSICIAN ASSISTANT
• Alyssa Grudzinski
• Jillian Gurba Korb, LCSW
• Jasmine Gutierrez
• Elisa Guzman

• Specialist in Medford, NY
• Providers in Medford, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.