Individual provider Active NPI

Randall Scott McDavid, NP

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1881902500
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0101394 Issued in CO
Practice address
6260 E Colfax Ave
Denver, CO 80220
Phone
(303) 962-5317
Fax
(720) 372-7849
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0101394 CO Primary

Addresses

Primary practice location

6260 E Colfax Ave
Denver, CO 80220

Mailing address

6260 E Colfax Ave
Denver, CO 80220-1515
Phone (303) 962-5317

Other identifiers 1

IdentifierTypeStateIssuer
900158746MedicaidCO

Other names 1

  • Randall Scott Salyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6542 9TH St
Rockford, IL 61109-4334

PO Box
Suite 210
Portsmouth, NH 03802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101394COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Major Hospital Past Accepting new patients

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1881902500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802201515",
            "telephone_number": "303-962-5317",
            "fax_number": "720-372-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 E COLFAX AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80220",
            "telephone_number": "303-962-5317",
            "fax_number": "720-372-7849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVID",
        "first_name": "RANDALL",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0101394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900158746",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "SALYER",
            "middle_name": "SCOTT",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.