AMANDA JONES RANDALL CNP NPI 1164143830

NPI Information

  • NPI: 1164143830
  • Provider Name: AMANDA JONES RANDALL, CNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1710 HARPER RD
    BECKLEY, WV
    ZIP 25801
  • Phone: (304) 256-4100

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NPI Details

Amanda Jones Randall, CNP is an acute care nurse practitioner in Beckley, WV with 4 years of experience. Amanda Jones Randall, CNP NPI is 1164143830. 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:

1710 HARPER RD
BECKLEY, WV
ZIP 25801-397
Phone: (304) 256-4100

The NPI 1164143830 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 9/9/2022 and was last updated on 9/9/2022.

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
1363LA2100XNurse PractitionerAcute Care114029WEST VIRGINIAYes

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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