Individual provider Active NPI

Abigail Randall, APRN FNP-C

  • Nurse Practitioner
  • Davie, FL
National Provider Identifier
1790237683
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
22343 Issued in TN
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

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.33 of 100Reported as group
Quality
90.29
Promoting interoperability
100
Improvement activities
40
Cost
74.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9363644FLMDFamily Nurse Practitioner
22343TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Heart LLC Nurse Practitioner PastSince Mar 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.