DEEANNE CONEA RANDOLPH LMP
NPI 1215178801
Specialist in Tacoma, WA

Q: What is Deeanne Randolph's NPI number?

The NPI number for Deeanne Randolph is 1215178801. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Q: What is Deeanne Randolph's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Deeanne Randolph was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 12, 2009

706 MARKET STREET, SERENITY SPA, TACOMA, WA 98402(253) 473-7830 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Deeanne Conea Randolph Lmp NPPES

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

DEEANNE CONEA RANDOLPH LMP (NPI 1215178801) is an individual specialist in Tacoma, Washington, licensed in Washington (MA00016331) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1215178801

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameDEEANNE CONEA RANDOLPHCredential: LMP

Location Address706 MARKET STREET, SERENITY SPATacoma, WA 98402

Mailing Address706 Market StTacoma, WA 98402-3712 · (253) 473-7830

Phone(253) 473-7830

Sole ProprietorNo

Enumeration DateMarch 12, 2009

✔ NPI 1215178801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in WA · MA00016331

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

706 MARKET STREET, Tacoma, WA 98402

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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 Deeanne Randolph's NPI number?

The NPI number for Deeanne Randolph is 1215178801. It was assigned to this individual provider in the NPPES registry on March 12, 2009.

Where is Deeanne Randolph located?

Deeanne Randolph practices at 706 Market Street Serenity Spa, Tacoma, WA 98402. The listed phone number is (253) 473-7830.

What is Deeanne Randolph's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Deeanne Randolph was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.