Jill Ann Randal, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA006500 Issued in PA

Practice address

600 Forbes Ave
Pittsburgh, PA 15219-3016

Phone

(412) 396-1650

NPI assigned

Sep 17, 2013

Last updated

Aug 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duquesne University of the Holy Spirit

  dba Duquesne University Health Services

  • Student Health Clinic/Center
  • Pittsburgh, PA
  • NPI 1669911368
  NPD (past)

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1902232317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CARNOUSTIE DR",
            "city": "PRESTO",
            "state": "PA",
            "postal_code": "151421082",
            "telephone_number": "412-735-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FORBES AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152193016",
            "telephone_number": "412-396-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDAL",
        "first_name": "JILL",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002760-L",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006500",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA006500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Sara Ranalli, M.ED., BCBA, LBS
• Justin Ranalli
• Vince Ranalli, MASTER DPP TRAINER
• Michael D Rancurello, MD
• Deenna Catherine Randal
• Alice P Randall, M.D.
• Bryan J Randall Jr., M.S., CCC-SLP
• Dwight Randall Jr., MS, LAT, ATC
• Baltek Singh Randhawa
• Hari Randhawa, MD

• Physician Assistant in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.