Randa Jill Kucey, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201709028NP-PP Issued in OR

Practice address

1029 River Rd
Eugene, OR 97404

Phone

(503) 972-0235

NPI assigned

May 28, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in OR

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Iridescent Wellness Clinic PC

  • Family Nurse Practitioner
  • Eugene, OR
  • NPI 1770167348
  Medicare reassignment NPD Authorized official
• Clinicops, LLC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1275821266
  Medicare reassignment NPD
• Clinicops LLC

  • Internal Medicine Physician
  • Florence, OR
  • NPI 1497251268
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1871905620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N WILLAMETTE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972035743",
            "telephone_number": "503-943-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97404",
            "telephone_number": "503-972-0235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 N Willamette Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972035743",
            "country_code": "US",
            "telephone_number": "503-943-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCEY",
        "first_name": "RANDA",
        "middle_name": "JILL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201709028NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Nicole Kruid, OD
• Tracie Krum, MFT
• Amber-Dawn Krupicka, MSW, LCSW
• Katherine Kubicek, PMHNP-BC
• Alexa Kucera
• Kimberly M Kufner
• Petra Kuhfahl, M.D.
• Marissa R Kuhlman, F.R.A.
• Jen Kuhn
• Julia M Kuhn, MD

• Family Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.