SAVANNAH ASHLEE RANDOLPH CRNP NPI 1164872529

NPI Information

NPI: 1164872529
Provider Name: SAVANNAH ASHLEE RANDOLPH, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
2 CHASE CORPORATE DR
SUITE 300
HOOVER, AL
ZIP 35244
Phone: (773) 292-4800
Get Directions

Savannah Ashlee Randolph, CRNP is an adult health nurse practitioner in Hoover, AL. Savannah Ashlee Randolph, CRNP NPI is 1164872529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 CHASE CORPORATE DR
SUITE 300
HOOVER, AL
ZIP 35244-016
Phone: (773) 292-4800
Fax: (312) 564-4059

The NPI 1164872529 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2016 and was last updated on 2/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	1112879	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1-112879	OTHER	ALABAMA	AL-LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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