Nikole Randall

Primary specialty

Neuroscience Registered NurseTaxonomy code 163WN0800X

License

RN9417551 Issued in FL

Practice address

2650 Dade Ave Apt 1406
Orlando, FL 32804-4657

Phone

(321) 202-0624

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Nikole Gibbs Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1720598907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 DADE AVE APT 1406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 DADE AVE APT 1406",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328044657",
            "telephone_number": "321-202-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "NIKOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VT",
            "license": "0260127089",
            "primary": false
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "FL",
            "license": "RN9417551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKOLE",
            "last_name": "GIBBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ranachowski, PTA
• Jayant Ranawat, MD
• Lacey Maye Rancourt, APRN
• Jennifer Elaine Randall
• Nicole Summer Randall, PT, DPT
• Vernon Glenard Randall, LMHC
• Robert L. Randell Jr., M.D.
• Jontae Lakesha Randle
• Byron Martin Randolph, DPT
• John Carlton Randolph, MD

• Registered Nurse in Orlando, FL
• Providers in Orlando, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.