Tess Randolph
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Houtzdale, PA
NPI 1649980780 · NPPES record last updated Nov 30, 2022
Key facts
- NPI
- 1649980780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 354 N Railroad St
Houtzdale, PA 16651-8836 - Phone
- (814) 592-5841
- NPI assigned
- Nov 30, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
354 N Railroad St
Houtzdale, PA 16651-8836
Mailing address
354 N Railroad St
Houtzdale, PA 16651-8836
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All providers in Houtzdale, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.