Active NPI
Gerri Renae Randolph, BHRS
- Behavior Analyst
- Oklahoma City, OK
National Provider Identifier
1598041931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 6418 N Santa Fe Ave Ste C
Oklahoma City, OK 73116-9100 - Phone
- (405) 242-2242
- NPI assigned
- Oct 31, 2011
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
6418 N Santa Fe Ave Ste C
Oklahoma City, OK 73116-9100
Mailing address
4112 Lonetree Dr
Edmond, OK 73025-1170
Phone (405) 919-6236
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access to Counseling, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Oklahoma City, OK
- NPI 1992033120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1598041931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 LONETREE DR",
"city": "EDMOND",
"state": "OK",
"postal_code": "730251170",
"telephone_number": "405-919-6236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6418 N SANTA FE AVE STE C",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731169100",
"telephone_number": "405-242-2242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "GERRI",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "BHRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.