Active NPI
Abigail Randall, APRN FNP-C
- Nurse Practitioner
- Davie, FL
National Provider Identifier
1790237683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 22343
- Practice address
- 8513 Old Country MNR
Apt 410
Davie, FL 33328-2992 - Phone
- (205) 527-3145
- NPI assigned
- Oct 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9363644 | FL | |
| Family Nurse Practitioner | 363LF0000X | 22343 | TN | |
| Nurse Practitioner | 363L00000X | 22343 | TN | Primary |
Addresses
Primary practice location
8513 Old Country MNR
Apt 410
Davie, FL 33328-2992
Mailing address
777 Banister Dr
Clarksville, TN 37042-6681
Phone (205) 527-3145
Other practice location 1
2400 Patterson St Ste 307
Nashville, TN 37203-6532
Phone (615) 342-6900
Other practice location 2
777 Banister Dr
Clarksville, TN 37042-6681
Phone (205) 527-3145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ABIGAIL.RANDALL@hca1.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.33 of 100
- Quality
- 90.29
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9363644 | FL | MD | Family Nurse Practitioner |
| 22343 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Heart LLC | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- abigail.randall@hca1.eclinicaldirectplus.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1790237683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANISTER DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370426681",
"telephone_number": "205-527-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8513 OLD COUNTRY MNR",
"address_2": "APT 410",
"city": "DAVIE",
"state": "FL",
"postal_code": "333282992",
"telephone_number": "205-527-3145"
}
],
"practiceLocations": [
{
"address_1": "2400 Patterson St Ste 307",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372036532",
"country_code": "US",
"telephone_number": "615-342-6900",
"fax_number": "615-342-6899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "777 Banister Dr",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370426681",
"country_code": "US",
"telephone_number": "205-527-3145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDALL",
"first_name": "ABIGAIL",
"credential": "APRN FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-26",
"last_updated": "2022-01-04",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9363644",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22343",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "22343",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ABIGAIL.RANDALL@hca1.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "2400 Patterson St Ste 307",
"city": "Nashville",
"state": "TN",
"country_code": "US",
"postal_code": "372036532",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.