Randi Nicole Willard

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5300 Westview Dr Ste 200
Frederick, MD 21703-8303

Phone

(240) 247-0977

NPI assigned

Aug 31, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1972271567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14765 HERMAN HAUVER RD",
            "city": "SABILLASVILLE",
            "state": "MD",
            "postal_code": "217808502",
            "telephone_number": "240-818-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 WESTVIEW DR STE 200",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038303",
            "telephone_number": "240-247-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "RANDI",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Anne Wilhide, L. AC
• Deseiria Wilkes, APRN
• Cheryl L Wilkie, CCC SLP
• Elizabeth Pelishek Wilkinson
• Mary Lynn Willard, L.C.P.C.
• Teagan Willett, RBT
• William H. Johnson, M.D.,P.a.
• William J Hall DDS PA
• William O. Miller, M.D., P.a.
• Nykailyn Williams Brown

• Behavior Technician in Frederick, MD
• Providers in Frederick, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.