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RANDI TEASTER FNP NPI 1881097913


NPI Information

NPI: 1881097913
Provider Name: RANDI TEASTER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2000 BROOKSIDE DR
3RD FLOOR
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-5905
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Randi Teaster, FNP is a family nurse practitioner in Kingsport, TN. Randi Teaster, FNP NPI is 1881097913. 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:

2000 BROOKSIDE DR
3RD FLOOR
KINGSPORT, TN
ZIP 37660-627
Phone: (423) 857-5905
Fax: (423) 857-5904

The NPI 1881097913 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2014 and was last updated on 2/27/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyAPN0000018874TENNESSEEYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11881097913MEDICAIDNORTH CAROLINA
2Q008746MEDICAIDTENNESSEE
3103502I785MEDICARE PINTENNESSEE
4P01438270OTHERTENNESSEERAILROAD MEDICARE
51881097913MEDICAIDVIRGINIA
67100322730MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.