Kim Randolph, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN921328 Issued in FL

Practice address

703 60TH Street CT E
Suite K
Bradenton, FL 34208-6278

Phone

(941) 748-6024

Fax

(941) 748-6039

NPI assigned

Sep 22, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other names 1

• Kim Randolph Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411344000000",
    "number": "1821490830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 60TH STREET CT E",
            "address_2": "SUITE K",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086278",
            "telephone_number": "941-748-6024",
            "fax_number": "941-748-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 60TH STREET CT E",
            "address_2": "SUITE K",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086278",
            "telephone_number": "941-748-6024",
            "fax_number": "941-748-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "KIM",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2014-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN921328",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN921328",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "FL",
            "license": "RN921328",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN921328",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "FL",
            "license": "RN921328",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "FL",
            "license": "RN921328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "RANDOLPH",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shivan Ramsamooj
• Lauren Marie Ramsey, LMHC
• Ericka Quandra Randall
• Suzanne M Randall, LMT
• Carl Randolph Randolph, ATC
• Shaunda Elzabeth Randolph
• Madhavi Rao, MS, CNS
• Sukhdeep Singh Rao, M.D.
• Vikram Rao, MS RPH CPH
• Rapid Medi-Van Transport, LLC

• Registered Nurse in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; 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.