Randalls Family Health Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RANDALLS FAMILY HEALTH CARE

Practice address

7415 Araia Dr
Fountain, CO 80817-1590

Phone

(863) 224-2903

Fax

(866) 256-5098

NPI assigned

Mar 18, 2021

Last updated

Oct 7, 2024By 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

Adam RandallNPI 1639626997

Title

Owner

Phone

(863) 224-2903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, OR2 enrollments

Enrollment records 2

Locations

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.

• Adam Lee Randall, DNP, FNP-C

  • Family Nurse Practitioner
  • Fountain, CO
  • NPI 1639626997

  OR

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1639755945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7415 ARAIA DR",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171590",
            "telephone_number": "863-224-2903",
            "fax_number": "866-256-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7415 ARAIA DR",
            "city": "FOUNTAIN",
            "state": "CO",
            "postal_code": "808171590",
            "telephone_number": "863-224-2903",
            "fax_number": "866-256-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALLS FAMILY HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-224-2903"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Ramos - Martinez
• Daisy Ramos, PHARMD
• Estrella Delicia Ramos, RBT
• Tamara Elena Ramos, MT
• Adam Lee Randall, DNP, FNP-C
• George Ranta, DDS
• Jeffrey Ranta, DMD
• Andrea Darlene Ratcliff, LCSW
• Ravenclawz Inc (Seniors Helping Seniors Fountain)
• Irene M Rawls, NURSE PRACTITIONER

• Family Nurse Practitioner in Fountain, CO
• Providers in Fountain, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.