Marianne Randall

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP-02059 Issued in NM

Practice address

234 Monte Largo Dr NE
Albuquerque, NM 87123-2317

Phone

(505) 292-5604

NPI assigned

Oct 17, 2012

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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1669725537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 MONTE LARGO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232317",
            "telephone_number": "505-292-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 MONTE LARGO DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232317",
            "telephone_number": "505-292-5604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Encino Pl NE Ste 8",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871022624",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "MARIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-17",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Ali A Rana, M.D.
• Jenise Rancher, FNP-C
• Dianne C Rand, FNP AND LISW
• Miriam McLeod Rand, LPCC
• Allyson Randall, LPCC
• Nancy Carr Randall, DOM
• Nashe Phylice Randall, SLP
• Olivia Randall, NP-PMHNP
• Shandy Lynn Randall, LMSW
• Kyle D. Randolph, DO

• Family Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.