Randi B Levine, DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

HAD 17 Issued in FL

Practice address

1700 Baker Avenue E
Haines City, FL 33844-4325

Phone

(863) 419-3252

Fax

(863) 419-3497

NPI assigned

Mar 8, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD (past)
• Florida Department of Health

  dba Florida Department of Health in Polk County

  • Public Health or Welfare Agency
  • Lakeland, FL
  • NPI 1396732541
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1679814131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 GOLFVIEW AVE",
            "address_2": "ATTN: ACCOUNTS RECEIVABLE",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338306740",
            "telephone_number": "863-519-7900",
            "fax_number": "863-519-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BAKER AVENUE E",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338444325",
            "telephone_number": "863-419-3252",
            "fax_number": "863-419-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RANDI",
        "middle_name": "B",
        "credential": "DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "HAD 17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stephanie Lee-McKenzie, MA, CADC, LCPC, NCC
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• Qun Lin
• Erika L Little
• Living Life Services Inc .
• Gabriela Sofia Lopez Cohen, MD

• Dentist in Haines City, FL
• Providers in Haines City, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.