NPIMap

Individual provider Active NPI

Abigail Randolph

  • Acute Care Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1982578225
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
VA00127434 Issued in VA
Practice address
5875 Bremo Rd
Richmond, VA 23226-1934
Phone
(804) 287-7804
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X VA00127434 VA
Acute Care Nurse Practitioner 363LA2100X VA00127434 VA Primary

Addresses

Primary practice location

5875 Bremo Rd
Richmond, VA 23226-1934

Mailing address

10217 Falconbridge Dr
Henrico, VA 23238-3809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213004255 VA Practitioner - Nurse Practitioner 0749760288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

5875 Bremo Rd
Suite 209
Richmond, VA 23226-1934
Phone (804) 287-7804

5875 Bremo Rd
Suite 712
Richmond, VA 23226-1928
Phone (804) 288-8900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VA00127434VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jan 25, 2026 Accepting new patients
Bon Secours-Richmond Community Hospital LLC CurrentSince Jan 25, 2026 Accepting new patients
Bon Secours-Richmond Community Hospital LLC Past Accepting new patients

Locations

5875 Bremo Rd
Richmond, VA 23226
Phone (804) 213-0200

5875 Bremo Rd
Ste 712
Richmond, VA 23226
Phone (804) 285-9416

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1982578225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 FALCONBRIDGE DR",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232383809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-287-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "VA00127434",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "VA00127434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.