MS. KATE JOANNA RANDOLPH PA NPI 1033939749

NPI Information

  • NPI: 1033939749
  • Provider Name: MS. KATE JOANNA RANDOLPH, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 751 SAPPINGTON BRIDGE RD
    DEPT RADIOLOGY
    SULLIVAN, MO
    ZIP 63080
  • Phone: (314) 996-5170

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NPI Details

MS. Kate Joanna Randolph, PA is a medical physician assistant in Sullivan, MO. MS. Kate Joanna Randolph, PA NPI is 1033939749. 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:

751 SAPPINGTON BRIDGE RD
DEPT RADIOLOGY
SULLIVAN, MO
ZIP 63080-354
Phone: (314) 996-5170
Fax: (314) 653-5832

The NPI 1033939749 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 10/16/2024 and was last updated on 11/3/2025.

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
1363AM0700XPhysician AssistantMedical2025000294MISSOURIYes

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: 11/21/2025

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