Karen Ann Randolph, CMT, ED D

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

703556 Issued in CA

Practice address

5 Bon Air Rd Ste C-116
Larkspur, CA 94939-1143

Phone

(510) 417-5773

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1252022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1629301874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 MILTON DR",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033024",
            "telephone_number": "510-275-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BON AIR RD STE C-116",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391143",
            "telephone_number": "510-417-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "CMT, ED D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CA",
            "license": "703556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "225700000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prima Medical Foundation
• Prima Medical Foundation
• Trisha Rae Quan, M.A.T., A.T.C,
• Arun Raghupathy, MD
• Alok Rai, M.D
• Donald Reznicek, L. AC.
• Audrey Lynette Roberts, P.T.
• Ronald R. Ward, M.D., F.a.C.S.
• Edgar Dario Rondon, MSW
• David W Rose, DC CHIROPRACTOR

• Reflexologist in Larkspur, CA
• Providers in Larkspur, CA by specialty
• Reflexologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.