RANDOLPH'S FAMILY HEALTH AND WELLNESS
NPI 1164169371
Nurse Practitioner - Family in Lakeland, FL
About Randolph's Family Health And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RANDOLPH'S FAMILY HEALTH AND WELLNESS (NPI 1164169371) is a healthcare organization registered as a family in Lakeland, Florida and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Amanda Lucille Randolph, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2275070
Randolphs Family Health And Wellness · Lakeland, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAKELAND, FL 33805
LAKELAND, FL 33805
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 Randolph's Family Health And Wellness's NPI number?
The NPI number for Randolph's Family Health And Wellness is 1164169371. It was assigned to this organization in the NPPES registry on May 18, 2022.
Where is Randolph's Family Health And Wellness located?
Randolph's Family Health And Wellness is located at 3037 Lakeland Hills Blvd Ste 7A, Lakeland, FL 33805. The listed phone number is (863) 860-4500.
What is Randolph's Family Health And Wellness's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Randolph's Family Health And Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2275070) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Randolph's Family Health And Wellness was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Randolph's Family Health And Wellness · NPI 1164169371
Family organization in Lakeland, Florida. Organization record, active in the CMS NPPES registry since May 18, 2022.
## Identity
- **NPI:** 1164169371 (Entity type: Organization)
- **Enumerated:** May 18, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Amanda Randolph, NURSE PRACTITIONER
## Practice location
- **Address:** 3037 LAKELAND HILLS BLVD STE 7A, Lakeland, FL 33805-2225
- **Phone:** (863) 860-4500
## Record status
- **NPPES last updated:** April 22, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164169371) · Data from the CMS NPPES public registry.