LISA RANDOLPH
NPI 1114393279
Nurse Practitioner - Family in San Luis Obispo, CA

Active since August 12, 2015
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405(805) 546-7600 Get Directions Write a Review

NPPES record last updated: August 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Randolph NPPES

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

LISA RANDOLPH (NPI 1114393279) is an individual family provider in San Luis Obispo, California, licensed in California (95002336) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1114393279
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA RANDOLPH
Location Address1010 MURRAY AVESan Luis Obispo, CA 93405-1806
Mailing Address4562 Obispo RdAtascadero, CA 93422-1531
Sole ProprietorNo
Enumeration DateAugust 12, 2015
NPI 1114393279 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 CA · 95002336
1010 MURRAY AVE, San Luis Obispo, CA 93405

Other Names 1

Former Name (1)Lisa M Ecker Fnp

Other Providers at the Same Location NPPES 20

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

Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Hospitalist
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Pediatrics (Pediatric Endocrinology)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Emergency Medicine
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
Occupational Therapist
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405

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 Lisa Randolph's NPI number?

The NPI number for Lisa Randolph is 1114393279. It was assigned to this individual provider in the NPPES registry on August 12, 2015. The provider is also known as Lisa M Ecker Fnp.

Where is Lisa Randolph located?

Lisa Randolph practices at 1010 Murray Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 546-7600.

What is Lisa 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 Lisa Randolph was last updated on August 12, 2015. 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.