NPIMap

Organization Active NPI

Patricia Randolph, PH.D., CCC-a

  • Audiologist
  • Silver Spring, MD
National Provider Identifier
1932379047
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
00831 Issued in MD
Legal business name
PATRICIA RANDOLPH, PH.D., CCC-A
Practice address
11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Phone
(301) 593-3200
Fax
(301) 593-3900
NPI assigned
Mar 4, 2008
Last updated
Mar 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Authorized official

Name
Dr. Patricia Louise Randolph, CCC-ANPI 1154489128
Title
Owner
Phone
(301) 593-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 00831 MD Primary

Addresses

Primary practice location

11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633

Mailing address

11120 New Hampshire Ave
Suite 504
Silver Spring, MD 20904-2633
Phone (301) 593-3200

Other identifiers 4

IdentifierTypeStateIssuer
K098 0001OtherMDCARE FIRST BLUE CROSS BS
P00281897OtherMDMEDICARE RAILROAD
3973773OtherMDAETNA
5016973OtherMDCIGNA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1932379047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-593-3200",
            "fax_number": "301-593-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 504",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-593-3200",
            "fax_number": "301-593-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA RANDOLPH, PH.D., CCC-A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-593-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MD",
            "license": "00831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS BS",
            "identifier": "K098 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00281897",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3973773",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5016973",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.