ANNETTE RANDLEMON CNP NPI 1366468159

NPI Information

NPI: 1366468159
Provider Name: ANNETTE RANDLEMON, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2300 E 30TH ST
BLDG B, SUITE 102
FARMINGTON, NM
ZIP 87401
Phone: (505) 324-1000
Get Directions

Annette Randlemon, CNP is a family nurse practitioner in Farmington, NM. Annette Randlemon, CNP NPI is 1366468159. 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:

2300 E 30TH ST
BLDG B, SUITE 102
FARMINGTON, NM
ZIP 87401-990
Phone: (505) 324-1000
Fax: (505) 324-1199

The NPI 1366468159 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 7/14/2006 and was last updated on 1/22/2008.

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	363LF0000X	Nurse Practitioner	Family	R25038	NEW MEXICO	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	NM006F13	OTHER	NEW MEXICO	BLUE CROSS
2	S3309	MEDICAID	NEW MEXICO
3	10002777	OTHER	NEW MEXICO	LOVELACE SALUD
4	S50160	MEDICARE UPIN

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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