Dawnita R Randolph, MSN, APRN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F10181005 Issued in OK

Practice address

8703 80TH St
Noble, OK 73068-9741

Phone

(405) 820-5857

NPI assigned

Oct 24, 2018

Last updated

Oct 24, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1780151118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 80TH ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689741",
            "telephone_number": "405-820-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8703 80TH ST",
            "city": "NOBLE",
            "state": "OK",
            "postal_code": "730689741",
            "telephone_number": "405-820-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "DAWNITA",
        "middle_name": "R",
        "credential": "MSN, APRN, NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "F10181005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkers United Inc. (Health Essentials Direct)
• Yoyma Pedroso Lopez, RN
• Brian Travis Pendarvis, ARNP
• PF NHCC SNF Ops, LLC (Noble Health Care Center)
• PTMS 3.0, LLC (Physical Therapy Central of Noble)
• Red Med LLC
• Dawn Ripley, PTA
• Christianne Michelle Robberson, MED, MT, LPCC
• Joseph C Rohr
• Cheryl Lynn Sanders, CCC-SLP

• Family Nurse Practitioner in Noble, OK
• Providers in Noble, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.