KIMBERLY LEE RANDOLPH CRNP
NPI 1073004842
Nurse Practitioner - Family in Decatur, AL

Active since May 28, 2018
2205 BELTLINE RD SW, DECATUR, AL 35601(256) 306-4000 Get Directions Write a Review

NPPES record last updated: May 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Lee Randolph Crnp NPPES

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

KIMBERLY LEE RANDOLPH CRNP (NPI 1073004842) is an individual family provider in Decatur, Alabama, licensed in Alabama (F-04180370) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1073004842
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LEE RANDOLPHCredential: CRNP
Location Address2205 BELTLINE RD SWDecatur, AL 35601-3617
Mailing Address14448 Water Stream Dr NwHarvest, AL 35749-5915 · (256) 348-5573
Sole ProprietorNo
Enumeration DateMay 28, 2018
NPI 1073004842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AL · F-04180370
2205 BELTLINE RD SW, Decatur, AL 35601

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2205 BELTLINE RD SW
DECATUR, AL 35601
Psychiatric Unit
2205 BELTLINE RD SW
DECATUR, AL 35601
Psychiatric Unit
2205 BELTLINE RD SW
DECATUR, AL 35601
Nurse Practitioner (Family)
2205 BELTLINE RD SW
DECATUR, AL 35601
Social Worker
2205 BELTLINE RD SW
DECATUR, AL 35601
Psychiatry & Neurology (Psychiatry)
2205 BELTLINE RD SW
DECATUR, AL 35601
Psychiatry & Neurology (Psychiatry)
2205 BELTLINE RD SW
DECATUR, AL 35601
Nurse Practitioner (Psychiatric/Mental Health)
2205 BELTLINE RD SW
DECATUR, AL 35601

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 Kimberly Randolph's NPI number?

The NPI number for Kimberly Randolph is 1073004842. It was assigned to this individual provider in the NPPES registry on May 28, 2018.

Where is Kimberly Randolph located?

Kimberly Randolph practices at 2205 Beltline Rd SW, Decatur, AL 35601. The listed phone number is (256) 306-4000.

What is Kimberly Randolph's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kimberly Randolph was last updated on May 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.