Active NPI
Neema Tillery Randall, D.C.
- Chiropractor
- Sandston, VA
National Provider Identifier
1972522928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556165
- Practice address
- 105 W Williamsburg Rd Ste 105
Sandston, VA 23150-1442 - Phone
- (804) 328-0807
- Fax
- (804) 328-0809
- NPI assigned
- Jul 19, 2006
- Last updated
- May 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556165 | VA | Primary |
Addresses
Primary practice location
105 W Williamsburg Rd Ste 105
Sandston, VA 23150-1442
Mailing address
105 W Williamsburg Rd Ste 105
Sandston, VA 23150-1442
Phone (804) 328-0807
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 320200738 | Other | VA | ANTHEM BCBS |
| 320200738 | Other | VA | VA HEALTH |
| 243793 | Other | VA | SOUTHERN HEALTH SERVICES, INC. |
| 320200738 | Other | VA | CIGNA |
| 320200738 | Other | VA | UNITED HEALTHCARE |
| 495986 | Other | VA | PHCS |
| 320200738 | Other | VA | CHOICE CARE |
| 2212959 | Other | VA | FIRST HEALTH |
| 301890 | Other | VA | BCBS |
| 0007828549 | Other | VA | AETNA |
| 1047502 | Other | VA | ASHN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Within, Inc. | Current | Accepting new patients | |
| Leesburg Chiropractic and Massage, P.L.L.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Better Health Family Chiropractic
- Chiropractor
- Sandston, VA
- NPI 1770819989
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1922596675
-
- Chiropractor
- Leesburg, VA
- NPI 1710058490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304294400000",
"number": "1972522928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W WILLIAMSBURG RD STE 105",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231501442",
"telephone_number": "804-328-0807",
"fax_number": "804-328-0809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 W WILLIAMSBURG RD STE 105",
"city": "SANDSTON",
"state": "VA",
"postal_code": "231501442",
"telephone_number": "804-328-0807",
"fax_number": "804-328-0809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDALL",
"first_name": "NEEMA",
"middle_name": "TILLERY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2011-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "320200738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA HEALTH",
"identifier": "320200738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES, INC.",
"identifier": "243793",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "320200738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "320200738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "495986",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHOICE CARE",
"identifier": "320200738",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2212959",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "301890",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0007828549",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN",
"identifier": "1047502",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.