Robert Randolph

Primary specialty

Perinatal Registered NurseTaxonomy code 163WP1700X

License

163WP1700X Issued in WI

Practice address

4200 N Holton St Ste 110
Milwaukee, WI 53212-1065

Phone

(414) 899-6838

NPI assigned

Oct 21, 2016

Sex

Male

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)

Not 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.

• Kingly Community Resource Center

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1881133627
  NPD (past) Authorized official

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1700337979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 N HOLTON ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121008",
            "telephone_number": "414-899-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 N HOLTON ST STE 110",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532121065",
            "telephone_number": "414-899-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Perinatal",
            "state": "WI",
            "license": "163WP1700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda M Randa, LCSW
• Tarah Randazzo, LPC
• Edward L Randerson, M.D.
• Amber M Randle, RDH
• Terrisha Lee Randle, LPN
• Randy R Ciepluch
• Randy R Ciepluch DDS
• Rajesh Rangarajan, MD
• Linda Rangel
• Ishan Rangnekar, DMD

• Registered Nurse in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.