Individual provider Active NPI

Julie Randolph, CRNA

  • Certified Registered Nurse Anesthetist
  • Temple, TX
National Provider Identifier
1962733477
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP118687 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-3294
Phone
(254) 724-2111
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 502347 TX
Certified Registered Nurse Anesthetist 367500000X AP118687 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-3294

Mailing address

PO Box 844658
Dallas, TX 75284-4658

Other identifiers 1

IdentifierTypeStateIssuer
JULIEDR103MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jrandolph326779@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20100623000920 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163553835 Reassigns benefits to 4 organizations
I20170218000142 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163553835 Reassigns benefits to 3 organizations
I20250908000799 TN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2163553835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Anesthesiology of Tennessee PCGroup PAC ID 9931001922, 296 clinicians

Practice addresses (Care Compare)

10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 546-8040

Hospital & facility affiliations

  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP118687TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Anesthetist Services LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Northstar Anesthesia III PA Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Jun 15, 2023 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2017 Accepting new patients
American Anesthesiology of Tennessee, P.C. CurrentSince Aug 1, 2025 Accepting new patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2017 Accepting new patients
American Anesthesiology of Tennessee, P.C. Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2025 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2016 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Jupiter Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 20, 2017 Accepting new patients
Northstar Anesthesia II PA Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2020 Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

7800 US Highway 98 W
Miramar Beach, FL 32550
Phone (850) 267-1603

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9300 Park West Blvd
Knoxville, TN 37923
Phone (865) 427-4040

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

11801 South Fwy
Burleson, TX 76028
Phone (817) 551-2738

3315 S Alameda St
Corpus Christi, TX 78411
Phone (361) 761-1400

7101 S Padre Island Dr
Corpus Christi, TX 78412
Phone (361) 761-1400

900 8th Ave
Ft Worth, TX 76104
Phone (817) 336-2100

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

Interoperability endpoints

  • Direct secure messaging: jrandolph326779@direct.sw.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1962733477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765083294",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "JULIE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "502347",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP118687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JULIEDR103",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jrandolph326779@direct.sw.org",
            "affiliation": "N",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765083294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.