Nancy Jane Randall, RN, NP-C

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ00258000 Issued in NJ

Practice address

2078 Beaver Ruin Rd
Suite 500
Norcross, GA 30071-3765

Phone

(770) 734-0999

Fax

(770) 734-0037

NPI assigned

May 4, 2006

Last updated

Jan 20, 2016By the provider in NPPES

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

Credentials

Nurse Practitioner, Registered Nurse

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1740238617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SEARS DR",
            "address_2": "STE 104",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523525",
            "telephone_number": "770-734-0999",
            "fax_number": "770-734-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2078 BEAVER RUIN RD",
            "address_2": "SUITE 500",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713765",
            "telephone_number": "770-734-0999",
            "fax_number": "770-734-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "credential": "RN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00258000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainbow Senior Healthcare LLC (Rainbow Adult Day Care Center)
• Robert Alexander Rait
• Pallavi T Rakesh, DMD
• Lisa Kristen Ramer, LPC
• Stephanie Nicole Ramos Plaza, DC
• Shawnell Rankine Washington, BCBA
• Samuel Haden Raper, M.ED., M.S.
• Rapid Lab Pros, LLC
• Allison Raymond, MSW
• Rd Casie LLC

• Women's Health Nurse Practitioner in Norcross, GA
• Providers in Norcross, GA by specialty
• Women's Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.