Individual provider Active NPI

Rhea Randhawa, AGNP-C

  • Nurse Practitioner
  • Mt Sterling, KY
National Provider Identifier
1780305409
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4011266 Issued in KY
Practice address
148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone
(859) 499-0717
NPI assigned
Sep 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1093610 TX
Nurse Practitioner 363L00000X 4011266 KY Primary

Addresses

Primary practice location

148 Skyview Dr
Mt Sterling, KY 40353-1496

Mailing address

148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone (859) 499-0717

Other practice location 1

1919 S Shiloh Rd Ste 333
Garland, TX 75042-8235
Phone (972) 864-2050

Other identifiers 1

IdentifierTypeStateIssuer
7101036780MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250117001044 KY Practitioner - Nurse Practitioner 5991234080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Means Adult Primary Care Clinic of Kentucky PLLCGroup PAC ID 5395642177, 9 clinicians

Practice addresses (Care Compare)

148 Skyview Dr
Mt Sterling, KY 40353-1496
Phone (859) 499-0717

Hospital & facility affiliations

  • Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064
  • Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4011266KYMDNurse Practitioner
1093610TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Means Adult Primary Care Clinic of Kentucky PLLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Means Adult Primary Care Clinic of Kentucky PLLC Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Our Family Doctor, P. a. CurrentSince Sep 1, 2022 Accepting new patients

Locations

148 Skyview Dr
Mt Sterling, KY 40353
Phone (859) 499-0717

1011 Brandy Ln
Ste A
Richmond, KY 40475
Phone (859) 286-7555

1145 W Lexington Ave
Ste A
Winchester, KY 40391
Phone (859) 744-0301

1919 S Shiloh Rd
Ste 333
Garland, TX 75042
Phone (972) 276-9902

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1780305409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 SKYVIEW DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531496",
            "telephone_number": "859-499-0717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 S Shiloh Rd Ste 333",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750428235",
            "country_code": "US",
            "telephone_number": "972-864-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANDHAWA",
        "first_name": "RHEA",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1093610",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4011266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101036780",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.