MRS. TAMMY RANDOLPH
NPI 1053779397
Rehabilitation Practitioner in North Las Vegas, NV

Q: What is Tammy Randolph's NPI number?

The NPI number for Tammy Randolph is 1053779397. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Q: What is Tammy Randolph's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Randolph was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 01, 2016

3053 W CRAIG RD # 192, NORTH LAS VEGAS, NV 89032(702) 461-1620(702) 399-1507 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tammy Randolph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMMY RANDOLPH (NPI 1053779397) is an individual rehabilitation practitioner in North Las Vegas, Nevada and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1053779397

Entity TypeIndividualFemale

Primary Taxonomy225400000X

Provider Legal NameMRS. TAMMY RANDOLPH

Location Address3053 W CRAIG RD # 192North Las Vegas, NV 89032-5124

Mailing Address3053 W Craig Rd # 192North Las Vegas, NV 89032-5124 · (702) 461-1620 · Fax (702) 399-1507

Phone(702) 461-1620

Fax(702) 399-1507

Sole ProprietorYes

Enumeration DateFebruary 1, 2016

✔ NPI 1053779397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

3053 W CRAIG RD # 192, North Las Vegas, NV 89032

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Randolph's NPI number?

The NPI number for Tammy Randolph is 1053779397. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Tammy Randolph located?

Tammy Randolph practices at 3053 W Craig Rd # 192, North Las Vegas, NV 89032. The listed phone number is (702) 461-1620.

What is Tammy Randolph's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tammy Randolph was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.